Provider Demographics
NPI:1558669937
Name:HEALTHIER EDUCATION AND LONGEVITY CENTER LLC
Entity Type:Organization
Organization Name:HEALTHIER EDUCATION AND LONGEVITY CENTER LLC
Other - Org Name:SEATTLE INTEGRATIVE MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCO
Authorized Official - Middle Name:FRANCESCO
Authorized Official - Last Name:VESPIGNANI
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:206-525-8012
Mailing Address - Street 1:5322 ROOSEVELT WAY NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3629
Mailing Address - Country:US
Mailing Address - Phone:206-512-8012
Mailing Address - Fax:206-525-8013
Practice Address - Street 1:5322 ROOSEVELT WAY NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3629
Practice Address - Country:US
Practice Address - Phone:206-512-8012
Practice Address - Fax:206-525-8013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1318175F00000X
CA138175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty