Healthcare Provider Details

I. General information

NPI: 1003054917
Provider Name (Legal Business Name): INTEGRATED HEALTH AND WELLNESS CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2009
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 WELSH POOL RD STE 100
EXTON PA
19341-1321
US

IV. Provider business mailing address

211 WELSH POOL RD STE 100
EXTON PA
19341-1321
US

V. Phone/Fax

Practice location:
  • Phone: 610-561-6100
  • Fax: 610-524-0133
Mailing address:
  • Phone: 610-561-6100
  • Fax: 610-524-0133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC004305L
License Number StatePA

VIII. Authorized Official

Name: DR. SHARON LEONARDO-BARONE
Title or Position: PRESIDENT
Credential: D.C.
Phone: 610-561-6100