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Contact Information

INTEGRATIVE MEDICINE & WELLNESS INC
7900 SUDLEY RD STE 416
MANASSAS, VA20109-2806
 Phone: 703-563-3804
 Fax: 877-409-1647
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Integrative Medicine

202D00000X
Indicates primary specialty

NPI Profile & details for INTEGRATIVE MEDICINE WELLNESS INC · (Female)

NPI Number 1619792256
Status Active
Credentials
Entity Individual
Enumeration date 11/19/2024
Last updated 05/12/2026 - About 3 weeks ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
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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