National Provider Identifier Database

INTEGRATED WELLNESS CENTER LLC
Health Service


Contact Information

INTEGRATED WELLNESS CENTER LLC
2316 W NORTHERN AVE
PHOENIX, AZ85021-4935
Phone: 602-838-7799
Fax: 602-844-2525
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X
Clinic/Center 261Q00000X
Counselor 101Y00000X

* Indicates primary specialty

NPI Profile & details for INTEGRATED WELLNESS CENTER LLC

NPI Number 1760175723
Legal business name
LBN
INTEGRATED WELLNESS CENTER LLC
Authorized official RAVIKULASINGHAM THURAISINGAM - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 05/26/2023
Last updated 05/30/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

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.

Reviews for INTEGRATED WELLNESS CENTER LLC

There are currently no reviews for INTEGRATED WELLNESS CENTER LLC


NPIdb - Home
v2.201