Provider Demographics
NPI:1194205682
Name:B. ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:B. ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:N
Authorized Official - Last Name:HAUG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:856-404-8693
Mailing Address - Street 1:532 REVERE DR
Mailing Address - Street 2:
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-1253
Mailing Address - Country:US
Mailing Address - Phone:856-404-8693
Mailing Address - Fax:
Practice Address - Street 1:501 N HADDON AVE STE 10
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-1753
Practice Address - Country:US
Practice Address - Phone:856-430-4113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-15
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00127300171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty