Provider Demographics
NPI:1316673023
Name:ALIGN SPINAL CARE AND FUNCTIONAL WELLNESS PLLC
Entity type:Organization
Organization Name:ALIGN SPINAL CARE AND FUNCTIONAL WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:FRISK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:906-273-0399
Mailing Address - Street 1:1025 COMMERCE DR STE B
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-7601
Mailing Address - Country:US
Mailing Address - Phone:906-273-0399
Mailing Address - Fax:
Practice Address - Street 1:1025 COMMERCE DR STE B
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-7601
Practice Address - Country:US
Practice Address - Phone:906-273-0399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center