Healthcare Provider Details

I. General information

NPI: 1811126865
Provider Name (Legal Business Name): ALLIED INTEGRATIVE HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2009
Last Update Date: 11/12/2024
Certification Date: 11/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1209 JACKSON ST
CINCINNATI OH
45202-7105
US

IV. Provider business mailing address

1010 WALNUT ST APT 1108
CINCINNATI OH
45202-1261
US

V. Phone/Fax

Practice location:
  • Phone: 440-263-3915
  • Fax:
Mailing address:
  • Phone: 513-913-0014
  • Fax: 216-360-9560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateOH

VIII. Authorized Official

Name: DR. ROBERT M WHETSTONE
Title or Position: OWNER
Credential: D.C.
Phone: 216-360-9567