Healthcare Provider Details

I. General information

NPI: 1265716427
Provider Name (Legal Business Name): PHYSICIANS INTEGRITY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2011
Last Update Date: 10/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 SPRING RIDGE DR
SUSANVILLE CA
96130-6100
US

IV. Provider business mailing address

59 DAMONTE RANCH PKWY SUITE B 592
RENO NV
89521-1907
US

V. Phone/Fax

Practice location:
  • Phone: 530-252-2000
  • Fax:
Mailing address:
  • Phone: 702-453-3799
  • Fax: 702-453-5741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number20A5044
License Number StateCA

VIII. Authorized Official

Name: LORI ANN LABRECQUE
Title or Position: ACCTS MGR
Credential:
Phone: 702-453-3799