Provider Demographics
NPI:1801338231
Name:ALBUQUERQUE INTEGRATIVE MEDICINE LLC
Entity type:Organization
Organization Name:ALBUQUERQUE INTEGRATIVE MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHERR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-503-8962
Mailing Address - Street 1:PO BOX 25782
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87125-0782
Mailing Address - Country:US
Mailing Address - Phone:505-503-8962
Mailing Address - Fax:505-503-8955
Practice Address - Street 1:4121 MONTGOMERY BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-1102
Practice Address - Country:US
Practice Address - Phone:505-503-8962
Practice Address - Fax:505-503-8955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management