Provider Demographics
NPI:1073828257
Name:INTEGRATED HEALTH SOLUTIONS INC.
Entity Type:Organization
Organization Name:INTEGRATED HEALTH SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HARB
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:317-997-0432
Mailing Address - Street 1:PO BOX 503441
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-8441
Mailing Address - Country:US
Mailing Address - Phone:317-997-0432
Mailing Address - Fax:
Practice Address - Street 1:7440 N SHADELAND AVE STE 100
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-0058
Practice Address - Country:US
Practice Address - Phone:317-997-0432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002493A111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty