Provider Demographics
NPI:1710227749
Name:FUNCTIONAL HEALTH SOLUTIONS PC
Entity Type:Organization
Organization Name:FUNCTIONAL HEALTH SOLUTIONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILLEMI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:866-335-4040
Mailing Address - Street 1:41 UNIVERSITY DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:866-335-4040
Mailing Address - Fax:718-984-1495
Practice Address - Street 1:41 UNIVERSITY DR
Practice Address - Street 2:SUITE 400
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1873
Practice Address - Country:US
Practice Address - Phone:866-335-4040
Practice Address - Fax:718-984-1495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Multi-Specialty