Provider Demographics
NPI:1952562506
Name:NATURAL RESOURCES INTEGRATED HEALTHCARE, LLC
Entity Type:Organization
Organization Name:NATURAL RESOURCES INTEGRATED HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MALCOLM
Authorized Official - Suffix:
Authorized Official - Credentials:ND, LAC
Authorized Official - Phone:303-541-9600
Mailing Address - Street 1:2760 29TH ST
Mailing Address - Street 2:SUITE 2E
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-1214
Mailing Address - Country:US
Mailing Address - Phone:303-541-9600
Mailing Address - Fax:303-938-9402
Practice Address - Street 1:2760 29TH ST
Practice Address - Street 2:SUITE 2E
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1214
Practice Address - Country:US
Practice Address - Phone:303-541-9600
Practice Address - Fax:303-938-9402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO669171100000X
MT61175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty