Provider Demographics
NPI:1093571614
Name:INNER STRENGTH HEALTH CORP
Entity Type:Organization
Organization Name:INNER STRENGTH HEALTH CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HAZLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BALLINA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:651-315-4306
Mailing Address - Street 1:1480 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:WI
Mailing Address - Zip Code:54002-9342
Mailing Address - Country:US
Mailing Address - Phone:715-688-6008
Mailing Address - Fax:651-412-7599
Practice Address - Street 1:1443 E DIVISION AVE
Practice Address - Street 2:
Practice Address - City:BARRON
Practice Address - State:WI
Practice Address - Zip Code:54812-1210
Practice Address - Country:US
Practice Address - Phone:715-688-6008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty