Provider Demographics
NPI:1285152975
Name:MEADE DANIELLE LLC
Entity type:Organization
Organization Name:MEADE DANIELLE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEADE
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:MUELLER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:267-265-8235
Mailing Address - Street 1:10918 CALERA RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19154-3906
Mailing Address - Country:US
Mailing Address - Phone:1267-265-8235
Mailing Address - Fax:
Practice Address - Street 1:340 E MAPLE AVE STE 207
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-2852
Practice Address - Country:US
Practice Address - Phone:267-265-8235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-01
Last Update Date:2017-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK001096171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty