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:
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487917993 | NPPES |
| Massachusetts | Other | 22D2048592 | CLIA CERTIFICATION |
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