| Align Chiromedical Clinic, P.A. | |
|
33 Hamline Ave S Saint Paul MN 55105-2231 | |
| (651) 690-0866 | |
| (651) 690-0031 |
| Full Name | Align Chiromedical Clinic, P.A. |
|---|---|
| Speciality | Clinic/Center |
| Location | 33 Hamline Ave S, Saint Paul, Minnesota |
| Authorized Official Name and Position | Reza Alizadeh (CEO) |
| Authorized Official Contact | 6516900866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Align Chiromedical Clinic, P.A. 33 Hamline Ave S Saint Paul MN 55105-2231 Ph: (651) 690-0866 | Align Chiromedical Clinic, P.A. 33 Hamline Ave S Saint Paul MN 55105-2231 Ph: (651) 690-0866 |
| NPI Number | 1467578518 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 10/28/2019 |
| Medicare PECOS PAC ID | 9931197647 |
|---|---|
| Medicare Enrollment ID | O20040503000759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467578518 | NPI | - | NPPES |
| 4C482-AL | Other | MN | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 03221 (Minnesota) | Primary |
| 111N00000X | Chiropractor | (NU) | Secondary |
| Provider Name | Reza Alizadeh |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538214598 PECOS PAC ID: 8224026943 Enrollment ID: I20040503000924 |
| Provider Name | Jacob B Dalbec |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215265335 PECOS PAC ID: 6305981556 Enrollment ID: I20100226000718 |
| Provider Name | Alexa Nicole Nichols |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356002463 PECOS PAC ID: 3678959343 Enrollment ID: I20221004000469 |
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