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Contact Information

ALAETHIA DOCTOR, L.AC
39 MAIN ST
BRADLEY BEACH, NJ07720-1027
 Phone: 347-709-0848
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for ALAETHIA DOCTOR · (Female)

NPI # 1245583343
Status Active
Credentials L.AC
Entity Individual
Enumeration date 10/26/2012
Last updated 01/05/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MZ00094400
  • NY License # 004594
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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