Provider Demographics
NPI:1306074547
Name:BATTLEWOUND ALTERNATIVE MEDICINE
Entity type:Organization
Organization Name:BATTLEWOUND ALTERNATIVE MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RITA
Authorized Official - Middle Name:B
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-398-2348
Mailing Address - Street 1:3500 CHAMBERSBURG RD
Mailing Address - Street 2:
Mailing Address - City:BIGLERVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17307-9542
Mailing Address - Country:US
Mailing Address - Phone:717-398-2348
Mailing Address - Fax:717-398-2349
Practice Address - Street 1:3500 CHAMBERSBURG RD
Practice Address - Street 2:
Practice Address - City:BIGLERVILLE
Practice Address - State:PA
Practice Address - Zip Code:17307-9542
Practice Address - Country:US
Practice Address - Phone:717-398-2348
Practice Address - Fax:717-398-2349
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BATTLEWOUND HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-25
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPAK000136171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty