Provider Demographics
NPI:1023727344
Name:BE WELL ACUPUNCTURE, LLC
Entity type:Organization
Organization Name:BE WELL ACUPUNCTURE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOVATS
Authorized Official - Suffix:
Authorized Official - Credentials:DACM
Authorized Official - Phone:908-489-3196
Mailing Address - Street 1:PO BOX 311
Mailing Address - Street 2:
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-0311
Mailing Address - Country:US
Mailing Address - Phone:908-489-3196
Mailing Address - Fax:
Practice Address - Street 1:75 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-2925
Practice Address - Country:US
Practice Address - Phone:908-489-3196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE