Provider Demographics
NPI:1639615370
Name:SPOKANE INTEGRATIVE HEALTH, INC.
Entity Type:Organization
Organization Name:SPOKANE INTEGRATIVE HEALTH, INC.
Other - Org Name:IN2VALUE ENTERPRISES LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:SCHIPPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:509-496-8810
Mailing Address - Street 1:9803 E SPRAGUE AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-3645
Mailing Address - Country:US
Mailing Address - Phone:509-496-8810
Mailing Address - Fax:509-474-9857
Practice Address - Street 1:9803 E SPRAGUE AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-3645
Practice Address - Country:US
Practice Address - Phone:509-496-8810
Practice Address - Fax:509-474-9857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60313801363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty