Provider Demographics
NPI:1962254383
Name:INPHYSIQUE LLC
Entity type:Organization
Organization Name:INPHYSIQUE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/HEALTH COACH
Authorized Official - Prefix:
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-708-8127
Mailing Address - Street 1:3807 LINDEN DR
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-8157
Mailing Address - Country:US
Mailing Address - Phone:308-708-8127
Mailing Address - Fax:
Practice Address - Street 1:3807 LINDEN DR
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-8157
Practice Address - Country:US
Practice Address - Phone:308-708-8127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty