Provider Demographics
NPI:1689391252
Name:BE MORE LLC
Entity Type:Organization
Organization Name:BE MORE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THRESA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GROTHAUS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, APRN, CPNP-PC
Authorized Official - Phone:567-765-1111
Mailing Address - Street 1:152 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:DELPHOS
Mailing Address - State:OH
Mailing Address - Zip Code:45833-1601
Mailing Address - Country:US
Mailing Address - Phone:567-765-1111
Mailing Address - Fax:833-940-3627
Practice Address - Street 1:152 W 2ND ST
Practice Address - Street 2:
Practice Address - City:DELPHOS
Practice Address - State:OH
Practice Address - Zip Code:45833-1601
Practice Address - Country:US
Practice Address - Phone:567-765-1111
Practice Address - Fax:833-940-3627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty