Provider Demographics
NPI:1598429417
Name:BE WELL PEDIATRICS, P.L.C
Entity Type:Organization
Organization Name:BE WELL PEDIATRICS, P.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CALLIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, ARNP, CPNP-PC
Authorized Official - Phone:515-967-8887
Mailing Address - Street 1:700 1ST AVE S STE B
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:IA
Mailing Address - Zip Code:50009-1717
Mailing Address - Country:US
Mailing Address - Phone:515-967-8887
Mailing Address - Fax:833-913-0981
Practice Address - Street 1:700 1ST AVE S STE B
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:IA
Practice Address - Zip Code:50009-1717
Practice Address - Country:US
Practice Address - Phone:515-967-8887
Practice Address - Fax:833-913-0981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty