Healthcare Provider Details

I. General information

NPI: 1952590267
Provider Name (Legal Business Name): INTEGRATED HEALTH & WELLNESS CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2007
Last Update Date: 06/18/2024
Certification Date: 06/18/2024
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

855 SPRINGDALE DR SUITE 120
EXTON PA
19341
US

V. Phone/Fax

Practice location:
  • Phone: 610-524-9520
  • Fax: 610-524-0133
Mailing address:
  • Phone: 610-524-9520
  • Fax: 610-524-0133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC004305L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC007087L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS007850L
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS007810L
License Number StatePA

VIII. Authorized Official

Name: DR. SHARON A LEONARDO-BARONE
Title or Position: DR/OWNER
Credential:
Phone: 610-524-9520