Provider Demographics
NPI:1134377666
Name:INTEGRATIVE HEALTH, INC.
Entity type:Organization
Organization Name:INTEGRATIVE HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:SHUFFLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:832-372-4476
Mailing Address - Street 1:315 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-3517
Mailing Address - Country:US
Mailing Address - Phone:832-372-4476
Mailing Address - Fax:
Practice Address - Street 1:1508 PAOLI PIKE
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-6114
Practice Address - Country:US
Practice Address - Phone:610-696-0688
Practice Address - Fax:610-692-6947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008838111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty