National Provider Identifier Database

4 INTEGRATED HEALTH LLC
Family


Contact Information

4 INTEGRATED HEALTH LLC
825 W JACKSON ST
MORTON, IL61550-1569
Phone: 309-291-0469
Fax: 309-291-0467
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for 4 INTEGRATED HEALTH LLC

NPI Number 1962239376
Legal business name
LBN
4 INTEGRATED HEALTH LLC
Authorized official SHANNON KUNKLE - (FNP)
Entity Organization
Organization subpart No
Enumeration date 09/18/2024
Last updated 12/23/2024 - More than a year 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.

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