| Align Chiropractic Clinic Llc | |
|
1002 Diamond Rdg Suite 200 Jefferson City MO 65109-6896 | |
| (573) 635-4827 | |
| (573) 635-4361 |
| Full Name | Align Chiropractic Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1002 Diamond Rdg, Jefferson City, Missouri |
| Authorized Official Name and Position | Brandon Keith Johns (OWNER) |
| Authorized Official Contact | 8704895159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Align Chiropractic Clinic Llc 1002 Diamond Rdg Suite 200 Jefferson City MO 65109-6896 Ph: (573) 635-4827 | Align Chiropractic Clinic Llc 1002 Diamond Rdg Suite 200 Jefferson City MO 65109-6896 Ph: (573) 635-4827 |
| NPI Number | 1366865263 |
|---|---|
| Provider Enumeration Date | 01/28/2014 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5395978704 |
|---|---|
| Medicare Enrollment ID | O20140508001288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366865263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Missouri) | Primary |
| Provider Name | Brandon Keith Johns |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578986477 PECOS PAC ID: 9537392048 Enrollment ID: I20140508001043 |
| Provider Name | Julie Motte |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1740941715 PECOS PAC ID: 2264828623 Enrollment ID: I20220412000572 |
| Provider Name | Thomas Kennedy |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104522762 PECOS PAC ID: 7113399544 Enrollment ID: I20230217000602 |
| Provider Name | Victoria-lee Ngar-yan Moy |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790168003 PECOS PAC ID: 4385009133 Enrollment ID: I20230429000283 |
| Provider Name | Melissa Victoria Clemons |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114618741 PECOS PAC ID: 7911364757 Enrollment ID: I20230608003142 |
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