Provider Demographics
NPI:1801559968
Name:SOZEN INTEGRATIVE HEALTH AND WELLNESS LLC
Entity type:Organization
Organization Name:SOZEN INTEGRATIVE HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FELTNER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:484-819-0411
Mailing Address - Street 1:2050 DIAMOND ROCK HILL RD
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-9529
Mailing Address - Country:US
Mailing Address - Phone:484-819-0411
Mailing Address - Fax:
Practice Address - Street 1:2050 DIAMOND ROCK HILL RD
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-9529
Practice Address - Country:US
Practice Address - Phone:484-819-0411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-15
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty