Provider Demographics
NPI:1821858523
Name:INTEGRATED CHIROPRACTIC AND HEALTH SOLUTIONS LLC
Entity Type:Organization
Organization Name:INTEGRATED CHIROPRACTIC AND HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:NUZZI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-693-0890
Mailing Address - Street 1:140 GRANDVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07727-4104
Mailing Address - Country:US
Mailing Address - Phone:201-693-0890
Mailing Address - Fax:
Practice Address - Street 1:140 GRANDVIEW CIR
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NJ
Practice Address - Zip Code:07727-4104
Practice Address - Country:US
Practice Address - Phone:201-693-0890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty