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Contact Information

INTEGRATED WELLNESS
10209 NACIMIENTO ST NW
ALBUQUERQUE, NM87114-4457
 Phone: 505-433-0335
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for INTEGRATED WELLNESS

NPI # 1063788701
LBN Legal business name INTEGRATED WELLNESS
Authorized official JOSHUA PEIPER - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/27/2012
Last updated 03/27/2012 - About 14 years ago
Identifiers
NM License # FA01022864
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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