Provider Demographics
NPI:1497324883
Name:INTEGRATIVE HEALTH AND WELLNESS
Entity Type:Organization
Organization Name:INTEGRATIVE HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BEDNARCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:405-550-5677
Mailing Address - Street 1:13501 S WESTMINSTER RD
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:OK
Mailing Address - Zip Code:73007-9531
Mailing Address - Country:US
Mailing Address - Phone:405-550-5677
Mailing Address - Fax:
Practice Address - Street 1:13501 S WESTMINSTER RD
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:OK
Practice Address - Zip Code:73007-9531
Practice Address - Country:US
Practice Address - Phone:405-550-5677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty