Provider Demographics
NPI:1982776290
Name:TANYA SIGVALDSON, DC, INC.
Entity Type:Organization
Organization Name:TANYA SIGVALDSON, DC, INC.
Other - Org Name:MORGAN CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:TANAYA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SIGVALDSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:205-424-8400
Mailing Address - Street 1:3054 MORGAN RD
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-6452
Mailing Address - Country:US
Mailing Address - Phone:205-424-8400
Mailing Address - Fax:205-424-9777
Practice Address - Street 1:3054 MORGAN RD
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-6452
Practice Address - Country:US
Practice Address - Phone:205-424-8400
Practice Address - Fax:205-424-9777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2054111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALY19147Medicare UPIN
ALJ939Medicare PIN
AL59088Medicare UPIN