Organization
ALIGN CHIROMEDICAL CLINIC, P.A.
Active
Organization
ALIGN CHIROMEDICAL CLINIC, P.A.
Active
Other names
Align Chiromedical Clinic, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA ALIZADEH D.C. (CEO)
(651) 690-0866
Entity
Organization
Contact information
Practice address
33 HAMLINE AVE S, SAINT PAUL, MN 55105-2231
(651) 690-0866
(651) 690-0031
Mailing address
33 HAMLINE AVE S, SAINT PAUL, MN 55105-2231
(651) 690-0866
(651) 690-0031
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261Q00000X
Clinic/Center
Primary
03221
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4C482-AL
PROVIDER NUMBER
MN
Enumeration date
03/21/2007
Last updated
10/28/2019
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