Provider Demographics
NPI:1548413180
Name:INTEGRATIVE PROFESSIONAL CARE, INC
Entity Type:Organization
Organization Name:INTEGRATIVE PROFESSIONAL CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:APN-C
Authorized Official - Phone:201-638-1001
Mailing Address - Street 1:123 TOWN SQUARE PL # 654
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07310-1756
Mailing Address - Country:US
Mailing Address - Phone:201-638-1001
Mailing Address - Fax:201-360-2472
Practice Address - Street 1:123 TOWN SQUARE PL # 654
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07310-1756
Practice Address - Country:US
Practice Address - Phone:201-638-1001
Practice Address - Fax:201-360-2472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty