Provider Demographics
NPI:1386493666
Name:INTEGRATED HEALTH ASSOCIATES LLC
Entity type:Organization
Organization Name:INTEGRATED HEALTH ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:K
Authorized Official - Last Name:LIVINGSTON
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:440-528-0005
Mailing Address - Street 1:220 BRAMLEY CT
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-3612
Mailing Address - Country:US
Mailing Address - Phone:216-832-9411
Mailing Address - Fax:
Practice Address - Street 1:25111 MILES RD STE D
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44128-5419
Practice Address - Country:US
Practice Address - Phone:440-528-0005
Practice Address - Fax:440-528-0011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty