Healthcare Provider Details
I. General information
NPI: 1922346634
Provider Name (Legal Business Name): IHEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/30/2013
Last Update Date: 02/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3101 N GREEN RIVER RD STE 140
EVANSVILLE IN
47715-1369
US
IV. Provider business mailing address
13100 MAGISTERIAL DR
LOUISVILLE KY
40223-5184
US
V. Phone/Fax
- Phone: 888-634-8596
- Fax: 888-859-9968
- Phone: 888-634-8596
- Fax: 888-859-9968
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALAN
M
BEE
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 888-634-8596