MEDICARE: INTEGRATED HEALTHCARE PARTNERS PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	111N00000X	Chiropractor
2	2081N0008X	Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
3	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1669190963
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED HEALTHCARE PARTNERS PLLC

Provider Business Mailing Address
First Line	:	13221 W PALO VERDE DR
Second Line	:
City	:	LITCHFIELD PARK
State	:	AZ
Zip	:	85340-8356
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7710 W LOWER BUCKEYE RD STE 115
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85043-3439
Country	:	US
Telephone Number	:	623-776-2225
Fax Number	:

Authorized Official
Title or Position	:	BILLER
Name	:	AMBER LINDNER
Credential	:
Telephone Number	:	623-776-2225

Provider Enumeration Date	:	08/22/2022
Last Update Date	:	12/27/2023

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