Organization
INTEGRATIVE HEALTH PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH BALJAK (NP/OWNER)
(740) 205-2007
Entity
Organization
Contact information
Practice address
8535 REFUGEE RD, PICKERINGTON, OH 43147-9625
(740) 205-2007
Mailing address
PO BOX 725, PATASKALA, OH 43062-0725
(740) 205-2007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.11381
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329311
—
OH
Enumeration date
07/13/2018
Last updated
04/25/2022
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