Provider Demographics
NPI:1376323923
Name:PEAK INTEGRATIVE MEDICINE LLC
Entity Type:Organization
Organization Name:PEAK INTEGRATIVE MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BUDDY
Authorized Official - Middle Name:
Authorized Official - Last Name:TOUCHINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:570-366-2613
Mailing Address - Street 1:1120 CENTRE TPKE
Mailing Address - Street 2:
Mailing Address - City:ORWIGSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17961-9191
Mailing Address - Country:US
Mailing Address - Phone:570-366-2613
Mailing Address - Fax:
Practice Address - Street 1:1120 CENTRE TPKE
Practice Address - Street 2:
Practice Address - City:ORWIGSBURG
Practice Address - State:PA
Practice Address - Zip Code:17961-9191
Practice Address - Country:US
Practice Address - Phone:570-366-2613
Practice Address - Fax:570-366-2618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty