Provider Demographics
NPI:1972135903
Name:HALBERT, ARI (LAC)
Entity Type:Individual
Prefix:
First Name:ARI
Middle Name:
Last Name:HALBERT
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1650 LIMEKILN PIKE STE B19
Mailing Address - Street 2:PMB 1011
Mailing Address - City:DRESHER
Mailing Address - State:PA
Mailing Address - Zip Code:19025-1503
Mailing Address - Country:US
Mailing Address - Phone:215-510-2221
Mailing Address - Fax:
Practice Address - Street 1:1650 LIMEKILN PIKE STE B19
Practice Address - Street 2:PMB 1011
Practice Address - City:DRESHER
Practice Address - State:PA
Practice Address - Zip Code:19025-1503
Practice Address - Country:US
Practice Address - Phone:215-510-2220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-07
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK001266171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist