| Align Healthcares Llc | |
|
1245 E Walnut St Carbondale IL 62901-5005 | |
| (618) 967-9494 | |
| Not Available |
| Full Name | Align Healthcares Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1245 E Walnut St, Carbondale, Illinois |
| Authorized Official Name and Position | David William Binversie (OWNER) |
| Authorized Official Contact | 6189679494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Align Healthcares Llc 1245 E Walnut St Carbondale IL 62901-5005 Ph: () - | Align Healthcares Llc 1245 E Walnut St Carbondale IL 62901-5005 Ph: (618) 967-9494 |
| NPI Number | 1962788489 |
|---|---|
| Provider Enumeration Date | 10/28/2011 |
| Last Update Date | 10/28/2011 |
| Medicare PECOS PAC ID | 4082876297 |
|---|---|
| Medicare Enrollment ID | O20120504000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962788489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 038012019 (Illinois) | Primary |
| Provider Name | David W Binversie |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083996268 PECOS PAC ID: 2163684382 Enrollment ID: I20120515000577 |
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