Provider Demographics
NPI:1760768428
Name:HEALTHY ALIGNMENT CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:HEALTHY ALIGNMENT CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:NORMAN
Authorized Official - Last Name:STROMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:208-939-9432
Mailing Address - Street 1:742 E STATE ST STE 150
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83616-5941
Mailing Address - Country:US
Mailing Address - Phone:208-939-9432
Mailing Address - Fax:208-244-3119
Practice Address - Street 1:742 E STATE ST STE 150
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:ID
Practice Address - Zip Code:83616-5941
Practice Address - Country:US
Practice Address - Phone:208-939-9432
Practice Address - Fax:208-244-3119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-26
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-1471261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center