Provider Demographics
NPI:1609080696
Name:HEALTH INNOVATION TECHNOLOGIES, INC
Entity Type:Organization
Organization Name:HEALTH INNOVATION TECHNOLOGIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:L
Authorized Official - Last Name:GILDERSLEEVE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:402-336-1907
Mailing Address - Street 1:PO BOX 875
Mailing Address - Street 2:
Mailing Address - City:ONEILL
Mailing Address - State:NE
Mailing Address - Zip Code:68763-0875
Mailing Address - Country:US
Mailing Address - Phone:402-336-1907
Mailing Address - Fax:402-336-4845
Practice Address - Street 1:612 N 4TH ST
Practice Address - Street 2:
Practice Address - City:ONEILL
Practice Address - State:NE
Practice Address - Zip Code:68763-1326
Practice Address - Country:US
Practice Address - Phone:402-336-1907
Practice Address - Fax:402-336-4845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes211D00000XPodiatric Medicine & Surgery Service ProvidersAssistant, PodiatricGroup - Single Specialty