Provider Demographics
NPI:1801489307
Name:ALIGNED TO SHINE CHIROPRACTIC PC
Entity type:Organization
Organization Name:ALIGNED TO SHINE CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:
Authorized Official - Last Name:BITTNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:810-599-9203
Mailing Address - Street 1:306 N BARNARD ST
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-1878
Mailing Address - Country:US
Mailing Address - Phone:810-599-9203
Mailing Address - Fax:
Practice Address - Street 1:306 N BARNARD ST
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-1878
Practice Address - Country:US
Practice Address - Phone:810-599-9203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-16
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty