Provider Demographics
NPI:1841320504
Name:ALIGNANCE CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:ALIGNANCE CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MEGGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-515-6614
Mailing Address - Street 1:8833 STATE AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66112-1610
Mailing Address - Country:US
Mailing Address - Phone:913-515-6614
Mailing Address - Fax:913-328-0033
Practice Address - Street 1:8833 STATE AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66112-1610
Practice Address - Country:US
Practice Address - Phone:913-515-6614
Practice Address - Fax:913-328-0033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04998111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSV06378Medicare UPIN
KS00E090Medicare PIN