Integrated Wellness Club

LBN: Integrated Wellness Club
Integrated Wellness Club is an health care organization with primary practice located at 1968 Mesquite Ave , Lake Havasu City AZ 86403-5729. The organization recently has only one registered license in Other Service Providers / Health Educator, which is considered as the primary health care specialty. Integrated Wellness Club can be contacted via phone (480) 703-4227, or through Ali, Rustom via phone (480) 703-4227.

Contact Information

Primary practice address
1968 Mesquite Ave Lake Havasu City AZ 86403-5729
Phone: (480) 703-4227
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ali, Rustom PHD
Phone: (480) 703-4227

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1811396757
LBN Legal business name Integrated Wellness Club
DBA Doing business as
Authorized official Ali, Rustom PHD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2014
Last updated Aug 16th, 2014 - about 11 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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