Provider Demographics
NPI:1285716670
Name:INTEGRATED HEALTHCARE
Entity type:Organization
Organization Name:INTEGRATED HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:J
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-446-6789
Mailing Address - Street 1:5270 PEACHTREE PKWY
Mailing Address - Street 2:STE: 116
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-6510
Mailing Address - Country:US
Mailing Address - Phone:770-446-6789
Mailing Address - Fax:770-446-7879
Practice Address - Street 1:5270 PEACHTREE PKWY
Practice Address - Street 2:STE: 116
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-6510
Practice Address - Country:US
Practice Address - Phone:770-446-6789
Practice Address - Fax:770-446-7879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty