Provider Demographics
NPI:1366962763
Name:ALIGN STUDIOS PC
Entity type:Organization
Organization Name:ALIGN STUDIOS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:PERREAULT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:207-536-0593
Mailing Address - Street 1:260 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-2445
Mailing Address - Country:US
Mailing Address - Phone:207-536-0593
Mailing Address - Fax:207-536-4026
Practice Address - Street 1:260 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-2445
Practice Address - Country:US
Practice Address - Phone:207-536-0593
Practice Address - Fax:207-536-4026
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALIGN STUDIOS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAC244171100000X
MENP505175F00000X
MEMT5691225700000X
MECR1334111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty