Integrative Therapies For Cancer & Chronic Disease Inc

LBN: Integrative Therapies For Cancer & Chronic Disease Inc
Integrative Therapies For Cancer & Chronic Disease Inc is an health care organization with primary practice located at 222 Auburn St Ste 103 , Portland ME 04103-6005. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Integrative Therapies For Cancer & Chronic Disease Inc can be contacted via phone (207) 699-3838, or through Tetzlaff, Colleen via phone (207) 699-3838.

Contact Information

Primary practice address
222 Auburn St Ste 103 Portland ME 04103-6005
Fax:
Website:
Authorized official contact:
Name: Tetzlaff, Colleen DNP

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP548701 Maine

Profile Details

NPI number 1063851046
LBN Legal business name Integrative Therapies For Cancer & Chronic Disease Inc
DBA Doing business as
Authorized official Tetzlaff, Colleen DNP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2013
Last updated May 22nd, 2019 - about 5 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 1063851046 NPPES
Maine MEDICAID 432379199

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