Healthcare Provider Details

I. General information

NPI: 1972135903
Provider Name (Legal Business Name): ARI HALBERT LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2020
Last Update Date: 12/23/2021
Certification Date: 12/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 LIMEKILN PIKE STE B19 PMB 1011
DRESHER PA
19025-1503
US

IV. Provider business mailing address

1650 LIMEKILN PIKE STE B19 PMB 1011
DRESHER PA
19025-1503
US

V. Phone/Fax

Practice location:
  • Phone: 215-510-2220
  • Fax:
Mailing address:
  • Phone: 215-510-2221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAK001266
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: