Provider Demographics
NPI:1972810596
Name:NORTH SHORE HEALTH THERAPIES, INC.
Entity Type:Organization
Organization Name:NORTH SHORE HEALTH THERAPIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:EINWALTER
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:218-370-0699
Mailing Address - Street 1:2327 COUNTY ROAD 7
Mailing Address - Street 2:
Mailing Address - City:GRAND MARAIS
Mailing Address - State:MN
Mailing Address - Zip Code:55604-2218
Mailing Address - Country:US
Mailing Address - Phone:218-370-0699
Mailing Address - Fax:
Practice Address - Street 1:2327 COUNTY ROAD 7
Practice Address - Street 2:
Practice Address - City:GRAND MARAIS
Practice Address - State:MN
Practice Address - Zip Code:55604-2218
Practice Address - Country:US
Practice Address - Phone:218-370-0699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-02
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA03011174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty