Provider Demographics
NPI:1962949750
Name:ALIGNED HEALTH CENTER BEACHWOOD, LLC
Entity type:Organization
Organization Name:ALIGNED HEALTH CENTER BEACHWOOD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BIGRIGG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:440-935-2905
Mailing Address - Street 1:3401 ENTERPRISE PKWY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-7341
Mailing Address - Country:US
Mailing Address - Phone:440-935-2905
Mailing Address - Fax:844-385-7357
Practice Address - Street 1:3401 ENTERPRISE PKWY
Practice Address - Street 2:SUITE 110
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-7341
Practice Address - Country:US
Practice Address - Phone:440-935-2905
Practice Address - Fax:844-385-7357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-31
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4667111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1548705312Medicare UPIN
OH1386044428Medicare UPIN