INTEGRATIVE HEALTH, LLC NPI 1720235286

Chiropractor in Sheridan, WY

Organization Chiropractor

About INTEGRATIVE HEALTH, LLC

Integrative Health, Llc is a provider established in Sheridan, Wyoming specializing in chiropractor. The NPI number of Integrative Health, Llc is 1720235286 and was assigned on August 2008. The practitioner's primary taxonomy code is 111N00000X with license number 684 (WY). The provider is registered as an organization and their NPI record was last updated 4 years ago. Integrative Health, Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Jessica Shea Ricchio Dc (Owner)

NPI

1720235286

Provider NameINTEGRATIVE HEALTH, LLC
Provider Location Address856 COFFEEN AVE STE 102 SHERIDAN, WY 82801
Provider Mailing Address856 COFFEEN AVE STE 102 SHERIDAN, WY 82801
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-26-2008
Last Update Date03-08-2016

Primary Taxonomy

Taxonomy Code111N00000X
ClassificationChiropractor
TypeChiropractic Providers
License No.684
License StateWY
Taxonomy DescriptionA provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Business Address

INTEGRATIVE HEALTH, LLC
856 COFFEEN AVE STE 102
SHERIDAN, WY
ZIP 82801
Phone: (307) 674-6655
Fax: (307) 674-6699

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Mailing Address

INTEGRATIVE HEALTH, LLC
856 COFFEEN AVE STE 102
SHERIDAN, WY
ZIP 82801
Phone: (307) 674-6655
Fax: (307) 674-6699

Authorized Official

Authorized Official NameDR. JESSICA SHEA RICCHIO DC
Authorized Official TitleOWNER
Authorized Official Phone(307) 674-6655

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.