MEDICARE: SUMMIT NATUROPATHIC INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	175F00000X	Naturopath
2	207LP2900X	Pain Medicine (Anesthesiology) Physician
3	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1497518583
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMIT NATUROPATHIC INC.

Provider Business Mailing Address
First Line	:	1845 IRON POINT RD STE 120
Second Line	:
City	:	FOLSOM
State	:	CA
Zip	:	95630-8835
Country	:	US
Telephone Number	:	530-214-0440
Fax Number	:	844-444-0920

Provider Business Practice Location Address
First Line	:	1845 IRON POINT RD STE 120
Second Line	:
City	:	FOLSOM
State	:	CA
Zip	:	95630-8835
Country	:	US
Telephone Number	:	530-214-0440
Fax Number	:	844-444-0920

Authorized Official
Title or Position	:	COO/CFO/PRACTICE MANAGER
Name	:	MR. SCOTT HALLMEYER
Credential	:
Telephone Number	:	530-214-0440

Provider Enumeration Date	:	02/01/2024
Last Update Date	:	08/01/2024

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Directions to “SUMMIT NATUROPATHIC INC. ” Practice Location

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