# ALIGN CHIROPRACTIC OF PORT, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brooks Clinic of Port, S.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588792600
- **Authorized official:** DR. JACOB J CHAPMAN D.C. (PRESIDENT)
- **Authorized official phone:** (262) 284-0500

## Contact information

- **Practice address:** 1032 S SPRING ST, PORT WASHINGTON, WI 53074-2455
- **Practice address phone:** (262) 284-0500
- **Practice address fax:** (262) 284-1944
- **Mailing address:** 1032 S SPRING ST, PORT WASHINGTON, WI 53074-2455
- **Mailing address phone:** (262) 284-0500
- **Mailing address fax:** (262) 284-1944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1323 | WI | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 11/02/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 38986700 | — | WI |