Provider Demographics
NPI:1891829305
Name:A BETTER CHOICE
Entity Type:Organization
Organization Name:A BETTER CHOICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:VAN HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECT OWNER
Authorized Official - Phone:609-464-0300
Mailing Address - Street 1:108 GARNETT LN
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-5959
Mailing Address - Country:US
Mailing Address - Phone:609-601-1130
Mailing Address - Fax:609-601-1086
Practice Address - Street 1:108 GARNETT LN
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-5959
Practice Address - Country:US
Practice Address - Phone:609-601-1130
Practice Address - Fax:609-601-1086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0600-2927-38173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Multi-Specialty