Provider Demographics
NPI:1952874190
Name:BETTER WELLNESS FAMILY PRACTICE LLC
Entity Type:Organization
Organization Name:BETTER WELLNESS FAMILY PRACTICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JEANNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGGIN
Authorized Official - Suffix:
Authorized Official - Credentials:ANP
Authorized Official - Phone:302-365-5516
Mailing Address - Street 1:PO BOX 1151
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-7151
Mailing Address - Country:US
Mailing Address - Phone:302-365-5516
Mailing Address - Fax:302-365-5310
Practice Address - Street 1:400 FOX HUNT DRIVE
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-1970
Practice Address - Country:US
Practice Address - Phone:302-365-5516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-10
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty