Provider Demographics
NPI:1831403518
Name:WHOLE HEALTH ALLIANCE
Entity type:Organization
Organization Name:WHOLE HEALTH ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINCAMP
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD
Authorized Official - Phone:520-840-4026
Mailing Address - Street 1:1895 N TREKELL RD STE 3
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-1774
Mailing Address - Country:US
Mailing Address - Phone:520-840-4026
Mailing Address - Fax:866-438-4206
Practice Address - Street 1:1895 N TREKELL RD STE 3
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-1774
Practice Address - Country:US
Practice Address - Phone:520-840-4026
Practice Address - Fax:866-438-4206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-04
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133N00000X
AZ932590133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ143285Medicare PIN