Provider Demographics
NPI:1154891521
Name:INTERGITY BUSINESS CONSULTING LLC
Entity type:Organization
Organization Name:INTERGITY BUSINESS CONSULTING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:FAUVOR
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:208-880-7282
Mailing Address - Street 1:2512 N STOKESBERRY PL # 102
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646-1144
Mailing Address - Country:US
Mailing Address - Phone:208-229-3238
Mailing Address - Fax:208-229-3231
Practice Address - Street 1:2512 N STOKESBERRY PL.
Practice Address - Street 2:102
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83646-8364
Practice Address - Country:US
Practice Address - Phone:208-229-3238
Practice Address - Fax:208-229-3231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-28
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDHA-3089OtherHIS