Healthcare Provider Details
I. General information
NPI: 1497435606
Provider Name (Legal Business Name): INNER STRENGTH MEDICAL AND WELLNESS PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/21/2023
Last Update Date: 07/21/2023
Certification Date: 07/21/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1522 STATE ST # A
SANTA BARBARA CA
93101-2514
US
IV. Provider business mailing address
1522 STATE ST # A
SANTA BARBARA CA
93101-2514
US
V. Phone/Fax
- Phone: 805-665-3835
- Fax: 805-617-0228
- Phone: 805-665-3835
- Fax: 805-617-0228
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JACOB
MARTIN
STUEBS
Title or Position: SHAREHOLDER
Credential: DC
Phone: 805-665-3835