MEDICARE: INTEGRATED HEALTHCARE PROFESSIONALS PLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	202D00000X	Integrative Medicine Physician

General Provider Information

NPI Number	:	1649971714
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED HEALTHCARE PROFESSIONALS PLC

Provider Business Mailing Address
First Line	:	37300 DEQUINDRE RD STE 112
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-3597
Country	:	US
Telephone Number	:	586-978-8240
Fax Number	:	586-978-1417

Provider Business Practice Location Address
First Line	:	37300 DEQUINDRE RD STE 112
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-3597
Country	:	US
Telephone Number	:	586-978-8240
Fax Number	:	586-978-1417

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	LETA M RICHARDS-FLAKE
Credential	:
Telephone Number	:	586-354-0011

Provider Enumeration Date	:	03/15/2023
Last Update Date	:	03/15/2023

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