Provider Demographics
NPI:1730710500
Name:INTEGRAL ALIGNMENT, INC. (FILED FOR DBA HEALTHSOURCE OF DAPHNE)
Entity type:Organization
Organization Name:INTEGRAL ALIGNMENT, INC. (FILED FOR DBA HEALTHSOURCE OF DAPHNE)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BAUDOIN
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:251-303-3118
Mailing Address - Street 1:34054 MENDOTA DR
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORT
Mailing Address - State:AL
Mailing Address - Zip Code:36527-7101
Mailing Address - Country:US
Mailing Address - Phone:251-303-3118
Mailing Address - Fax:
Practice Address - Street 1:1410 US HIGHWAY 98
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-5110
Practice Address - Country:US
Practice Address - Phone:251-303-3118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTEGRAL ALIGNMENT, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-30
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty