MEDICARE: INTEGRITY HEALTH OPTIONS, PA

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
1	111N00000X	Chiropractor	2198	NC

Other Identifiers

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

General Provider Information

NPI Number	:	1851472641
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRITY HEALTH OPTIONS, PA

Provider Business Mailing Address
First Line	:	1322 W MAIN ST
Second Line	:
City	:	FOREST CITY
State	:	NC
Zip	:	28043-2555
Country	:	US
Telephone Number	:	828-245-4002
Fax Number	:	828-245-4025

Provider Business Practice Location Address
First Line	:	1322 W MAIN ST
Second Line	:
City	:	FOREST CITY
State	:	NC
Zip	:	28043-2555
Country	:	US
Telephone Number	:	828-245-4002
Fax Number	:	828-245-4025

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. SIMON PAUL CALVILLO
Credential	:	D.C.
Telephone Number	:	828-245-4002

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	11/18/2010

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Directions to “INTEGRITY HEALTH OPTIONS, PA ” Practice Location

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