Healthcare Provider Details

I. General information

NPI: 1407204639
Provider Name (Legal Business Name): PINNACLE INTEGRATED HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2016
Last Update Date: 05/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 TRAILWOOD DRIVE
BOARDMAN OH
44512-5007
US

IV. Provider business mailing address

914 TRAILWOOD DRIVE
BOARDMAN OH
44512-5007
US

V. Phone/Fax

Practice location:
  • Phone: 330-758-6440
  • Fax: 330-758-6990
Mailing address:
  • Phone: 330-758-6440
  • Fax: 330-758-6990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL ADAMETS
Title or Position: OWNER-PRESIDENT
Credential: D.C.
Phone: 330-758-6440