Provider Demographics
NPI:1699932434
Name:INTEGRATIVE FAMILY HEALTHCARE, P.C.
Entity type:Organization
Organization Name:INTEGRATIVE FAMILY HEALTHCARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JESS
Authorized Official - Middle Name:P
Authorized Official - Last Name:ARMINE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-449-9716
Mailing Address - Street 1:1010 W CHESTER PIKE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-3442
Mailing Address - Country:US
Mailing Address - Phone:610-449-9716
Mailing Address - Fax:610-446-8055
Practice Address - Street 1:1010 W CHESTER PIKE
Practice Address - Street 2:SUITE 303
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-3442
Practice Address - Country:US
Practice Address - Phone:610-449-9716
Practice Address - Fax:610-446-8055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC3203L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1013261Medicaid
PAN32188OtherAMERIHEALTH ADMINISTRATORS
PA1332188OtherPA BLUE SHIELD
PA0032901000OtherPERSONAL CHOICE
PA2028344000OtherKEYSTONE HEALTH PLAN EAST
PA2384541OtherAETNA
PA1057367OtherASHN
PA1013261Medicaid