Healthcare Provider Details
I. General information
NPI: 1881752400
Provider Name (Legal Business Name): ALLIANCE INSTITUTE FOR INTEGRATIVE MEDICINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/05/2006
Last Update Date: 01/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6400 E GALBRAITH RD
CINCINNATI OH
45236-2268
US
IV. Provider business mailing address
6400 E GALBRAITH RD
CINCINNATI OH
45236-2268
US
V. Phone/Fax
- Phone: 513-791-5521
- Fax:
- Phone: 513-791-5521
- Fax:
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 | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133V00000X |
| Taxonomy | Registered Dietitian |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
STEVE
AMOILS
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 513-791-5521