TRI-STATE HEALING INITIATIVE LLC NPI 1841984036

NPI Information

NPI: 1841984036
Provider Name: TRI-STATE HEALING INITIATIVE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
200 FREEWAY DR E
EAST ORANGE, NJ
ZIP 07018
Phone: (973) 370-4000
Get Directions

TRI-STATE HEALING INITIATIVE LLC is a family medicine in East Orange, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TRI-STATE HEALING INITIATIVE LLC NPI is 1841984036. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 FREEWAY DR E
EAST ORANGE, NJ
ZIP 07018-809
Phone: (973) 370-4000

The provider's authorized official is Bryce Ratliff .
The authorized official title is Owner and has the following contact phone number (845) 662-3848.

The enumeration date for this NPI number is 6/8/2023 and was last updated on 6/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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