Inner Balance Integrative Medicine, Llc

LBN: Inner Balance Integrative Medicine, Llc
Inner Balance Integrative Medicine, Llc is an health care organization with primary practice located at 65 Walnut St Suite 380, Wellesley MA 02481-2118. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Inner Balance Integrative Medicine, Llc can be contacted via phone (781) 239-9900, or through Bordiuk, John via phone (781) 454-9014.

Contact Information

Primary practice address
65 Walnut St Suite 380 Wellesley MA 02481-2118
Phone: (781) 239-9900
Fax: (781) 239-9953
Website:
Map and Directions
Authorized official contact:
Name: Bordiuk, John Doctor of Medicine (MD)
Phone: (781) 454-9014

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 77100 Massachusetts

Profile Details

NPI number 1487917993
LBN Legal business name Inner Balance Integrative Medicine, Llc
DBA Doing business as
Authorized official Bordiuk, John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2012
Last updated Apr 25th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487917993 NPPES
Massachusetts Other 22D2048592 CLIA CERTIFICATION

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