Provider Demographics
NPI:1497518583
Name:SUMMIT NATUROPATHIC INC.
Entity Type:Organization
Organization Name:SUMMIT NATUROPATHIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO/CFO/PRACTICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:HALLMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-214-0440
Mailing Address - Street 1:10046 NICOLAS DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:TRUCKEE
Mailing Address - State:CA
Mailing Address - Zip Code:96161-1869
Mailing Address - Country:US
Mailing Address - Phone:530-214-0440
Mailing Address - Fax:844-444-0920
Practice Address - Street 1:1200 SUNCAST LN STE 5
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-9664
Practice Address - Country:US
Practice Address - Phone:530-214-0440
Practice Address - Fax:844-444-0920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty