Provider Demographics
NPI:1740559244
Name:ALIGN CHIROPRACTIC AND WELLNESS, PLC
Entity Type:Organization
Organization Name:ALIGN CHIROPRACTIC AND WELLNESS, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-264-6181
Mailing Address - Street 1:227 E BASELINE RD
Mailing Address - Street 2:J-1
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-1284
Mailing Address - Country:US
Mailing Address - Phone:480-264-6181
Mailing Address - Fax:480-264-7152
Practice Address - Street 1:227 E BASELINE RD
Practice Address - Street 2:J-1
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-1284
Practice Address - Country:US
Practice Address - Phone:480-264-6181
Practice Address - Fax:480-264-7152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-29
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7858111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty