Provider Demographics
NPI:1669299871
Name:ALIGN HEALTH AND WELLNESS LLC
Entity type:Organization
Organization Name:ALIGN HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:HUMMEL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:215-783-3574
Mailing Address - Street 1:901 N PENN ST UNIT F204
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-3241
Mailing Address - Country:US
Mailing Address - Phone:215-783-3574
Mailing Address - Fax:
Practice Address - Street 1:7803 HASBROOK AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111
Practice Address - Country:US
Practice Address - Phone:215-783-3574
Practice Address - Fax:215-437-7666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty