Provider Demographics
NPI:1023260429
Name:INTEGRATIVE HEALTH AND FITNESS, INC
Entity type:Organization
Organization Name:INTEGRATIVE HEALTH AND FITNESS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:BUSCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:810-241-2674
Mailing Address - Street 1:1100 N ROYAL AVE
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-3526
Mailing Address - Country:US
Mailing Address - Phone:540-635-4440
Mailing Address - Fax:540-635-4450
Practice Address - Street 1:1100 N ROYAL AVE
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-3526
Practice Address - Country:US
Practice Address - Phone:540-635-4440
Practice Address - Fax:540-635-4450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty