Healthcare Provider Details
I. General information
NPI: 1356978829
Provider Name (Legal Business Name): THRIVE POINT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/25/2020
Last Update Date: 03/03/2021
Certification Date: 03/03/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
107 NJ- 35
POINT PLEASANT BEACH NJ
08742-3325
US
IV. Provider business mailing address
107 NEW JERSEY AVE # 35
POINT PLEASANT BEACH NJ
08742-3325
US
V. Phone/Fax
- Phone: 732-359-7440
- Fax: 732-359-7442
- Phone: 732-359-7440
- Fax: 732-359-7442
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSEPH
MARCHITELLI
Title or Position: OWNER
Credential: DC
Phone: 732-359-7440