Provider Demographics
NPI:1881368827
Name:INTEGRATIVE PATH PC
Entity type:Organization
Organization Name:INTEGRATIVE PATH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO, MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:A
Authorized Official - Last Name:LININGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD MPH
Authorized Official - Phone:984-364-8441
Mailing Address - Street 1:2309 WABASH RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-5828
Mailing Address - Country:US
Mailing Address - Phone:984-364-8441
Mailing Address - Fax:919-372-3046
Practice Address - Street 1:2309 WABASH RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-5828
Practice Address - Country:US
Practice Address - Phone:984-364-8441
Practice Address - Fax:919-372-3046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-03
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care