East-West Wellness Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

AK000721 Issued in PA

Legal business name

EAST-WEST WELLNESS CENTER

Practice address

649 2ND Street Pike Ste B
Southampton, PA 18966-3996

Phone

(215) 322-7733

Fax

(215) 322-7743

NPI assigned

Aug 29, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Veronica I Bolhovitinova, L.AC.

Title

Director

Phone

(215) 322-7733

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283040000000",
    "number": "1124334099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 2ND STREET PIKE STE B",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663996",
            "telephone_number": "215-322-7733",
            "fax_number": "215-322-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 2ND STREET PIKE STE B",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663996",
            "telephone_number": "215-322-7733",
            "fax_number": "215-322-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST-WEST WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-29",
        "last_updated": "2010-08-29",
        "status": "A",
        "authorized_official_last_name": "BOLHOVITINOVA",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-322-7733",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "AK000721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan Dunsmore
• Beth B. Dupree, M.D.
• Megan Durkin, NP
• Sharon Dyckman, M.D.
• East Goshen Pharmacy, LLC
• Easy Meals Delivery Inc
• Jeannine R Eddleman, RN
• Eft
• Dillard Elmore, D.O., MBA
• Emotional Harmony, LLC

• All providers in Southampton, PA
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.