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Contact Information

INTEGRATIVE PEDIATRIC GI AND LIFESTYLE MEDICINE
1123 VILLA LINDE CT STE 38
FLINT, MI48532-3410
 Phone: 810-733-7221
 Fax: 810-733-7280
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for INTEGRATIVE PEDIATRIC GI AND LIFESTYLE MEDICINE

NPI # 1386359263
LBN Legal business name INTEGRATIVE PEDIATRIC GI AND LIFESTYLE MEDICINE
Authorized official RIMA JIBALY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/16/2023
Last updated 01/16/2023 - About 3 years ago
Identifiers n/a
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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