Provider Demographics
NPI:1447905666
Name:CONCIERGE WELLNESS AND BONE HEALTH
Entity type:Organization
Organization Name:CONCIERGE WELLNESS AND BONE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:DENNING
Authorized Official - Suffix:JR
Authorized Official - Credentials:DNP, APN
Authorized Official - Phone:609-713-1044
Mailing Address - Street 1:133 MOREY PLACE RD
Mailing Address - Street 2:
Mailing Address - City:WARETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08758-2629
Mailing Address - Country:US
Mailing Address - Phone:609-713-1044
Mailing Address - Fax:
Practice Address - Street 1:780 RTE 37 W STE 330
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-5064
Practice Address - Country:US
Practice Address - Phone:609-713-1044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty