| Integrated Body And Medicine, Pc | |
|
8145 Kennedy Ave Highland IN 46322-1128 | |
| (219) 803-6630 | |
| (219) 937-7237 |
| Full Name | Integrated Body And Medicine, Pc |
|---|---|
| Speciality | General Practice |
| Location | 8145 Kennedy Ave, Highland, Indiana |
| Authorized Official Name and Position | Ahmad Sprouse (OWNER) |
| Authorized Official Contact | 2198036630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Body And Medicine, Pc 8145 Kennedy Ave Highland IN 46322-1128 Ph: (219) 803-6630 | Integrated Body And Medicine, Pc 8145 Kennedy Ave Highland IN 46322-1128 Ph: (219) 803-6630 |
| NPI Number | 1407404569 |
|---|---|
| Provider Enumeration Date | 08/30/2019 |
| Last Update Date | 03/01/2022 |
| Medicare PECOS PAC ID | 7416366687 |
|---|---|
| Medicare Enrollment ID | O20210429002599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407404569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Akshata R Torgal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942456678 PECOS PAC ID: 6901972389 Enrollment ID: I20080909000326 |
| Provider Name | Maureen Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700306057 PECOS PAC ID: 9830469147 Enrollment ID: I20170719002693 |
| Provider Name | Nicole R Fornari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265997332 PECOS PAC ID: 4688083850 Enrollment ID: I20210429002647 |
| Provider Name | Ahmad Sprouse |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205293800 PECOS PAC ID: 1557760048 Enrollment ID: I20210603002457 |
| Provider Name | Andrea Zepeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881388205 PECOS PAC ID: 0244694925 Enrollment ID: I20230913003523 |
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