| Integrative Physical Health Llc | |
|
3105 Limestone Rd Ste 303 Wilmington DE 19808-2156 | |
| (302) 220-0064 | |
| Not Available |
| Full Name | Integrative Physical Health Llc |
|---|---|
| Speciality | General Practice |
| Location | 3105 Limestone Rd Ste 303, Wilmington, Delaware |
| Authorized Official Name and Position | Tim Ciolkosz (OWNER) |
| Authorized Official Contact | 3022200064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Physical Health Llc 3105 Limestone Rd Ste 303 Wilmington DE 19808-2156 Ph: (302) 220-0064 | Integrative Physical Health Llc 3105 Limestone Rd Ste 303 Wilmington DE 19808-2156 Ph: (302) 220-0064 |
| NPI Number | 1477166270 |
|---|---|
| Provider Enumeration Date | 08/31/2020 |
| Last Update Date | 08/31/2020 |
| Medicare PECOS PAC ID | 4981017282 |
|---|---|
| Medicare Enrollment ID | O20210105003040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477166270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Tim J Ciolkosz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013987221 PECOS PAC ID: 8527073204 Enrollment ID: I20100527000756 |
| Provider Name | Lisa D'angelo Sugar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790982577 PECOS PAC ID: 9638582893 Enrollment ID: I20210106002836 |
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