Align Clinic, Llc

LBN: Align Clinic, Llc
Align Clinic, Llc is an health care organization with primary practice located at 445 Cardinal Ln Ste 110 , Green Bay WI 54313-9587. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Align Clinic, Llc can be contacted via phone (920) 940-5277, or through Wood, Grant I. via phone (650) 375-2231.

Contact Information

Primary practice address
445 Cardinal Ln Ste 110 Green Bay WI 54313-9587
Fax: (844) 308-8462
Website:
Authorized official contact:
Name: Wood, Grant I. Certified Orthotist (CO)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1962893842
LBN Legal business name Align Clinic, Llc
DBA Doing business as
Authorized official Wood, Grant I. Certified Orthotist (CO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2015
Last updated Mar 17th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962893842 NPPES
Wisconsin MEDICAID 100063956

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