Healthcare Provider Details

I. General information

NPI: 1669190963
Provider Name (Legal Business Name): INTEGRATED HEALTHCARE PARTNERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 12/27/2023
Certification Date: 12/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7710 W LOWER BUCKEYE RD STE 115
PHOENIX AZ
85043-3439
US

IV. Provider business mailing address

13221 W PALO VERDE DR
LITCHFIELD PARK AZ
85340-8356
US

V. Phone/Fax

Practice location:
  • Phone: 623-776-2225
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMBER LINDNER
Title or Position: BILLER
Credential:
Phone: 623-776-2225