Provider Demographics
NPI:1992362958
Name:LIVE ALIGNED FAMILY CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:LIVE ALIGNED FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:BORGERT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-901-8169
Mailing Address - Street 1:6841 OBERON RD
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-2969
Mailing Address - Country:US
Mailing Address - Phone:303-901-8169
Mailing Address - Fax:
Practice Address - Street 1:17211 S GOLDEN RD UNIT A110
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-6026
Practice Address - Country:US
Practice Address - Phone:303-901-8169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-24
Last Update Date:2019-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center