Provider Demographics
NPI:1548824691
Name:ALIGN CHIROPRACTIC AND WELLNESS LLC
Entity type:Organization
Organization Name:ALIGN CHIROPRACTIC AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:POZZEBON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:562-587-6352
Mailing Address - Street 1:115 LAKE ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-4923
Mailing Address - Country:US
Mailing Address - Phone:562-587-6352
Mailing Address - Fax:
Practice Address - Street 1:115 LAKE ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-4923
Practice Address - Country:US
Practice Address - Phone:562-587-6352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-24
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty