Provider Demographics
NPI:1447630892
Name:BUSINESSWITHINU ALLIANCE, LLC
Entity type:Organization
Organization Name:BUSINESSWITHINU ALLIANCE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGEMENT DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-212-9904
Mailing Address - Street 1:1920 NIAGARA APT 7
Mailing Address - Street 2:7
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14207
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1920 NIAGARA ST
Practice Address - Street 2:APT 7
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14207-2700
Practice Address - Country:US
Practice Address - Phone:203-212-9904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-01
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1006984389302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization