Provider Demographics
NPI: | 1821785148 |
---|---|
Name: | THERAPEUTIC INFUSIONS INC |
Entity Type: | Organization |
Organization Name: | THERAPEUTIC INFUSIONS INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | JEANNE-MARIE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | RAZIANO |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DMIN, DDIV |
Authorized Official - Phone: | 302-358-5595 |
Mailing Address - Street 1: | 1301 N HARRISON ST STE 102 |
Mailing Address - Street 2: | |
Mailing Address - City: | WILMINGTON |
Mailing Address - State: | DE |
Mailing Address - Zip Code: | 19806-3163 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 302-358-5595 |
Mailing Address - Fax: | 785-414-5374 |
Practice Address - Street 1: | 1301 N HARRISON ST STE 102 |
Practice Address - Street 2: | |
Practice Address - City: | WILMINGTON |
Practice Address - State: | DE |
Practice Address - Zip Code: | 19806-3163 |
Practice Address - Country: | US |
Practice Address - Phone: | 302-358-5595 |
Practice Address - Fax: | 785-414-5374 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-04-18 |
Last Update Date: | 2024-02-19 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty | Group - Multi-Specialty |
No | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | Group - Multi-Specialty | |
No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
No | 101YP1600X | Behavioral Health & Social Service Providers | Counselor | Pastoral | Group - Multi-Specialty |
No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Multi-Specialty |
No | 146L00000X | Emergency Medical Service Providers | Emergency Medical Technician, Paramedic | Group - Multi-Specialty | |
No | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | Group - Multi-Specialty | |
No | 2083C0008X | Allopathic & Osteopathic Physicians | Preventive Medicine | Clinical Informatics | Group - Multi-Specialty |
No | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | Group - Multi-Specialty | |
No | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine | Group - Multi-Specialty |
No | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder | Group - Multi-Specialty |
No | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Group - Multi-Specialty | |
No | 374K00000X | Nursing Service Related Providers | Religious Nonmedical Practitioner | Group - Multi-Specialty |