Provider Demographics
NPI:1497435606
Name:INNER STRENGTH MEDICAL AND WELLNESS PC
Entity Type:Organization
Organization Name:INNER STRENGTH MEDICAL AND WELLNESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SHAREHOLDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:STUEBS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-665-3835
Mailing Address - Street 1:1522 STATE ST # A
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2514
Mailing Address - Country:US
Mailing Address - Phone:805-665-3835
Mailing Address - Fax:805-617-0228
Practice Address - Street 1:1522 STATE ST # A
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2514
Practice Address - Country:US
Practice Address - Phone:805-665-3835
Practice Address - Fax:805-617-0228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty