1750523916 NPI number — INTEGRATIVE HOMEOPATHY, P.L.L.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750523916 NPI number — INTEGRATIVE HOMEOPATHY, P.L.L.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INTEGRATIVE HOMEOPATHY, P.L.L.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750523916
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/01/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2001 W CAMELBACK RD
Provider Second Line Business Mailing Address:
AMERICAN MEDICAL COLLEGE OF HOMEOPATHY
Provider Business Mailing Address City Name:
PHOENIX
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85015-3466
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-347-7950
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2001 W CAMELBACK RD
Provider Second Line Business Practice Location Address:
AMERICAN MEDICAL COLLEGE OF HOMEOPATHY
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85015-3466
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-347-7950
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/01/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WARNER
Authorized Official First Name:
MARY
Authorized Official Middle Name:
GRACE
Authorized Official Title or Position:
PHYSICIAN/OWNER
Authorized Official Telephone Number:
602-326-7471

Provider Taxonomy Codes

  • Taxonomy code: 261QM2500X , with the licence number:  13927 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QM2500X , with the licence number: 20040743 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM2500X , with the licence number: 4301028720 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1174516207 . This is a "NPI TYPE 1" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".