Provider Demographics
NPI:1447480629
Name:INTEGRATED CORPORATE HEALTH SOLUTIONS, PLLC
Entity type:Organization
Organization Name:INTEGRATED CORPORATE HEALTH SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:R
Authorized Official - Last Name:RICKERT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:952-200-1799
Mailing Address - Street 1:1375 DAVERN ST APT 225
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-2284
Mailing Address - Country:US
Mailing Address - Phone:952-200-1799
Mailing Address - Fax:
Practice Address - Street 1:1375 DAVERN ST APT 225
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-2284
Practice Address - Country:US
Practice Address - Phone:952-200-1799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-22
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5230111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Multi-Specialty