Provider Demographics
NPI:1073979993
Name:INTEGRATIVE WELLNESS INC
Entity Type:Organization
Organization Name:INTEGRATIVE WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:PFEIFER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-288-7420
Mailing Address - Street 1:10967 ALLISONVILLE RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-2632
Mailing Address - Country:US
Mailing Address - Phone:317-288-7420
Mailing Address - Fax:317-288-7470
Practice Address - Street 1:10967 ALLISONVILLE RD
Practice Address - Street 2:SUITE 220
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-2632
Practice Address - Country:US
Practice Address - Phone:317-288-7420
Practice Address - Fax:317-288-7470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-07
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty