National Provider Identifier Database

ALIGNED MODERN WELLNESS LLC
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

ALIGNED MODERN WELLNESS LLC
6278 S 108TH ST
HALES CORNERS, WI53130-2527
Phone: 414-235-8740
Fax: 414-435-3129
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for ALIGNED MODERN WELLNESS LLC

NPI Number 1346671039
Legal business name
LBN
ALIGNED MODERN WELLNESS LLC
Authorized official TREVA RADEMAKER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/05/2013
Last updated 01/29/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 3746-12
  • WI Medicaid: 38938300
  • WI Other: 016310003 PTAN

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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