Provider Demographics
NPI:1467109207
Name:POINTE INTEGRATIVE
Entity Type:Organization
Organization Name:POINTE INTEGRATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ACUPUNCTUIRST
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BUCHANAN-NORTHUP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-924-5514
Mailing Address - Street 1:17770 MACK AVE
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48230-6233
Mailing Address - Country:US
Mailing Address - Phone:313-924-5514
Mailing Address - Fax:
Practice Address - Street 1:17770 MACK AVE
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE
Practice Address - State:MI
Practice Address - Zip Code:48230-6233
Practice Address - Country:US
Practice Address - Phone:313-924-5514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty