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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 Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ALIGNED MODERN WELLNESS LLC

NPI Number 1346671039
LBN Legal business name ALIGNED MODERN WELLNESS LLC
Authorized official TREVA RADEMAKER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2013
Last updated 01/29/2015 - About 11 years ago
Identifiers
WI License # 3746-12
WI Medicaid 38938300
WI Other 016310003 PTAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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