Provider Demographics
NPI:1427560887
Name:B.WELL CONNECTED HEALTH, INC.
Entity type:Organization
Organization Name:B.WELL CONNECTED HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, OPERATIONS & TECHNOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:YELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:BALIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-570-5277
Mailing Address - Street 1:5996 CALVERT WAY
Mailing Address - Street 2:
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-8582
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:855 N WOLFE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-1503
Practice Address - Country:US
Practice Address - Phone:443-570-5277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-25
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health InformationGroup - Multi-Specialty