-Trinity Integrative Medicine
Emergency Medicine in Jeffersonville, IN. Organization (NPI-2).
NPI number1821334673
StatusActive
Last updated in NPPESJan 24, 2013
Details
- NPI
- 1821334673
- Entity type
- Organization (NPI-2)
- Legal business name
- -Trinity Integrative Medicine
- Organization subpart
- No
- Enumeration date
- Dec 26, 2012
- Last updated
- Jan 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 01046661A | IN | Yes |
| 261QE0002X | Clinic/Center, Emergency Care | 37305 | KY |
Practice location
100 West Court StTrinity Integrative Medicine LLC
Jeffersonville, IN 47130
Phone 859-468-5065
Mailing address
14 Redgate CtSilver Spring, MD 20905-5726
Phone 301-989-0548 · Fax 301-989-1543
Authorized official
Rafael Cruz
Owner
8594685065
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