Organization
ALIGN CARE CHIROPRACTIC CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGIE A WILSON DC (OWNER)
(606) 706-0664
Entity
Organization
Contact information
Practice address
111 W HIGHWAY 80, SUITE B, SOMERSET, KY 42503-2725
(606) 451-0564
(606) 451-0565
Mailing address
111 W HIGHWAY 80, SUITE B, SOMERSET, KY 42503-2725
(606) 451-0564
(606) 451-0565
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4896
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01286
GROUP PTAN
—
01
—
01286001
INDIVIDUAL PTAN
—
01
—
1568423614
INDIVIDUAL NPI
—
05
—
7100109460
—
KY
Enumeration date
01/06/2010
Last updated
10/05/2015
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