Alaethia Doctor, LAC
Acupuncturist in Bradley Beach, New Jersey
1245583343- Practice location
- 39 Main St, Bradley Beach, NJ 07720-1027
- Phone
- 347-709-0848
- Fax
- —
- Last updated
- January 5, 2021
Alaethia Doctor is an Acupuncturist based in Bradley Beach, NJ. Alaethia Doctor practices in Bradley Beach, NJ and has the professional credentials of LAC. The NPI Number for Alaethia Doctor is 1245583343 and holds a License No. 004594 (NY). The current practice location address for Alaethia Doctor is 39 Main St, Bradley Beach, NJ 07720-1027 and can be reached out via phone at 347-709-0848.
Provider Profile Details
- NPI Number
- 1245583343
- Provider Name
- Alaethia Doctor
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 39 Main St, Bradley Beach, NJ 07720-1027
- Phone Number
- 347-709-0848
- Primary Taxonomy
- Acupuncturist · 171100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 26, 2012
- Last Update Date
- January 5, 2021
- Certification Date
- January 5, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 39 Main St
Bradley Beach, NJ 07720-1027 - City
- Bradley Beach
- State
- New Jersey
- Zip
- 07720-1027
- Phone Number
- 347-709-0848
Provider Business Mailing Address Details
- Address
- 39 Main St
Bradley Beach, NJ 07720-1027 - City
- Bradley Beach
- State
- NJ
- Zip
- 07720-1027
- Phone Number
- 347-709-0848
License Information
- License Number (1)
- 004594
- License State (1)
- NY
- Taxonomy (1)
- Acupuncturist · 171100000X
- License Number (2)
- 25MZ00094400
- License State (2)
- NJ
- Taxonomy (2)
- Acupuncturist · 171100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Alaethia Doctor, LAC?
The NPI number of Alaethia Doctor, LAC is 1245583343. It was assigned on October 26, 2012 and is currently active in the NPPES registry.
What is the specialty of Alaethia Doctor, LAC?
Alaethia Doctor, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NY under license number 004594.
Where does Alaethia Doctor, LAC practice?
The practice location is 39 Main St, Bradley Beach, NJ 07720-1027. The office can be reached at 347-709-0848 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245583343 directly on the NPPES registry website.