Provider Demographics
NPI:1427383215
Name:INTEGRATIVE HEALTHCARE SOLUTIONS, INC
Entity Type:Organization
Organization Name:INTEGRATIVE HEALTHCARE SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:
Authorized Official - Last Name:VESCE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:904-372-0623
Mailing Address - Street 1:1313 BEACH BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:JACKSONVILLE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32250-3429
Mailing Address - Country:US
Mailing Address - Phone:904-372-0623
Mailing Address - Fax:904-372-0675
Practice Address - Street 1:1313 BEACH BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250-3429
Practice Address - Country:US
Practice Address - Phone:904-372-0623
Practice Address - Fax:904-372-0675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-12
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty