Provider Demographics
NPI:1104227560
Name:OFFICE ALIGN INCORPORATED
Entity type:Organization
Organization Name:OFFICE ALIGN INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:TENWESTENEIND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-256-7627
Mailing Address - Street 1:8733 BYPASS 17
Mailing Address - Street 2:
Mailing Address - City:SURFSIDE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29575
Mailing Address - Country:US
Mailing Address - Phone:843-215-2324
Mailing Address - Fax:
Practice Address - Street 1:8733 BYPASS 17
Practice Address - Street 2:
Practice Address - City:SURFSIDE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29575
Practice Address - Country:US
Practice Address - Phone:843-215-2324
Practice Address - Fax:843-215-0541
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OFFICE ALIGN INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-04
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty