Provider Demographics
NPI:1649893892
Name:ALIGN CHIROPRACTIC PC
Entity type:Organization
Organization Name:ALIGN CHIROPRACTIC PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:BENIZZI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:228-447-3200
Mailing Address - Street 1:202 WALNUT DR
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-4120
Mailing Address - Country:US
Mailing Address - Phone:228-447-3200
Mailing Address - Fax:228-447-3201
Practice Address - Street 1:202 WALNUT DR
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-4120
Practice Address - Country:US
Practice Address - Phone:228-447-3200
Practice Address - Fax:228-447-3201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-22
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty