Provider Demographics
NPI:1407927981
Name:HEALERS' HEART INTEGRATIVE HEALTH CARE P.C.
Entity Type:Organization
Organization Name:HEALERS' HEART INTEGRATIVE HEALTH CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF HEALERS' HEART
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:765-497-2266
Mailing Address - Street 1:PO BOX 2219
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE BRA
Mailing Address - State:IN
Mailing Address - Zip Code:47996-2219
Mailing Address - Country:US
Mailing Address - Phone:765-497-2266
Mailing Address - Fax:
Practice Address - Street 1:3180 TREGO CT
Practice Address - Street 2:
Practice Address - City:WEST LAFAYETTE BRA
Practice Address - State:IN
Practice Address - Zip Code:47906-8823
Practice Address - Country:US
Practice Address - Phone:765-497-2266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002009A111N00000X
IN01054130A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN207670Medicare ID - Type Unspecified