Provider Demographics
NPI:1720610017
Name:INTEGRATIVE PAIN MANAGEMENT CENTER LLC
Entity Type:Organization
Organization Name:INTEGRATIVE PAIN MANAGEMENT CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST/ CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:REINERT
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM, LAC
Authorized Official - Phone:908-601-7376
Mailing Address - Street 1:8 LAKE DR
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-1362
Mailing Address - Country:US
Mailing Address - Phone:908-601-7376
Mailing Address - Fax:
Practice Address - Street 1:59 AVENUE AT THE CMN STE 104
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4559
Practice Address - Country:US
Practice Address - Phone:908-601-7376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-05
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty