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NPI Code Detail

MEDICARE: INTERGRATIVE MEDICINE&HOLISTIC WELLNESS CTR

MEDICARE: INTERGRATIVE MEDICINE&HOLISTIC WELLNESS CTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor439MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356629828
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTERGRATIVE MEDICINE&HOLISTIC WELLNESS CTR
Provider Business Mailing Address
First Line : 677 W MAIN ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-3493
Country : US
Telephone Number : 508-790-0606
Fax Number : 508-790-0808
Provider Business Practice Location Address
First Line : 677 W MAIN ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-3493
Country : US
Telephone Number : 508-790-0606
Fax Number : 508-790-0808
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. JOAN COLEMAN
Credential :
Telephone Number : 508-790-0606
Provider Enumeration Date : 08/01/2011
Last Update Date : 08/01/2011

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Directions to “INTERGRATIVE MEDICINE&HOLISTIC WELLNESS CTR ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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