Provider Demographics
NPI:1477151694
Name:HEALING GENETICS
Entity Type:Organization
Organization Name:HEALING GENETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOLISTIC PRACTIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SPRUENGLI
Authorized Official - Suffix:
Authorized Official - Credentials:HOLISTIC PRACTIONER
Authorized Official - Phone:937-218-6294
Mailing Address - Street 1:136 W BURROUGHS ST
Mailing Address - Street 2:
Mailing Address - City:BLANCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45107-1422
Mailing Address - Country:US
Mailing Address - Phone:937-218-6294
Mailing Address - Fax:
Practice Address - Street 1:136 W BURROUGHS ST
Practice Address - Street 2:
Practice Address - City:BLANCHESTER
Practice Address - State:OH
Practice Address - Zip Code:45107-1422
Practice Address - Country:US
Practice Address - Phone:937-218-6294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service