Provider Demographics
NPI:1225466980
Name:GET WELL CLINIC LLP
Entity Type:Organization
Organization Name:GET WELL CLINIC LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:MYRA
Authorized Official - Last Name:BARINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:641-682-0098
Mailing Address - Street 1:301 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:OTTUMWA
Mailing Address - State:IA
Mailing Address - Zip Code:52501-2524
Mailing Address - Country:US
Mailing Address - Phone:641-682-0098
Mailing Address - Fax:641-682-1943
Practice Address - Street 1:301 W MAIN ST
Practice Address - Street 2:
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-2524
Practice Address - Country:US
Practice Address - Phone:641-682-0098
Practice Address - Fax:641-682-1943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA053529363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty