Life Integrative Medicine

LBN: Life Integrative Medicine
Life Integrative Medicine is an health care organization with primary practice located at 2018 Eastwood Rd , Wilmington NC 28403-7228. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Life Integrative Medicine can be contacted via phone (910) 787-1358, or through Revell, Jeremy via phone (323) 216-0993.

Contact Information

Primary practice address
2018 Eastwood Rd Wilmington NC 28403-7228
Phone: (910) 787-1358
Fax: (910) 344-0379
Website:
Map and Directions
Authorized official contact:
Name: Revell, Jeremy Doctor of Medicine (MD)
Phone: (323) 216-0993

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X
Allopathic & Osteopathic Physicians / Obesity Medicine 2084B0002X
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2084P0005X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X
Allopathic & Osteopathic Physicians / Sports Medicine 2084S0010X

Profile Details

NPI number 1326684259
LBN Legal business name Life Integrative Medicine
DBA Doing business as
Authorized official Revell, Jeremy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 26th, 2019
Last updated Nov 26th, 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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