Provider Demographics
NPI:1063249068
Name:INTEGRATIVE HEALTH SOLUTIONS, LLC
Entity type:Organization
Organization Name:INTEGRATIVE HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GERBER-KUNICKA
Authorized Official - Suffix:
Authorized Official - Credentials:DAIH, MAC, LICAC
Authorized Official - Phone:978-877-1451
Mailing Address - Street 1:249 HILLSIDE AVE # 1
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM HEIGHTS
Mailing Address - State:MA
Mailing Address - Zip Code:02494-1335
Mailing Address - Country:US
Mailing Address - Phone:978-877-1451
Mailing Address - Fax:
Practice Address - Street 1:83 GREAT RD STE 2
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-5682
Practice Address - Country:US
Practice Address - Phone:857-244-0148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1760993695Medicaid