Provider Demographics
NPI:1699273508
Name:PURE PROACTIVE HEALTH INC
Entity type:Organization
Organization Name:PURE PROACTIVE HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:FERRO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:877-677-8767
Mailing Address - Street 1:555 FAYETTEVILLE ST FL 3
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27601-3030
Mailing Address - Country:US
Mailing Address - Phone:877-677-8767
Mailing Address - Fax:877-677-8767
Practice Address - Street 1:555 FAYETTEVILLE ST FL 3
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27601-3030
Practice Address - Country:US
Practice Address - Phone:877-677-8767
Practice Address - Fax:877-677-8767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-25
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty