MICHIANA NUTRITION AND DIABETES EDUCATION LLC NPI 1619604410

NPI Information

NPI: 1619604410
Provider Name: MICHIANA NUTRITION AND DIABETES EDUCATION LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
300 S SAINT LOUIS BLVD
SOUTH BEND, IN
ZIP 46617
Phone: (574) 301-5205
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MICHIANA NUTRITION AND DIABETES EDUCATION LLC is a health service clinic center in South Bend, IN. MICHIANA NUTRITION AND DIABETES EDUCATION LLC NPI is 1619604410. The provider is registered as an organization entity type.

The provider's business location address is:

300 S SAINT LOUIS BLVD
SOUTH BEND, IN
ZIP 46617-043
Phone: (574) 301-5205
Fax: (574) 301-5205

The provider's authorized official is Anouk D Shelton .
The authorized official title is Registered Dietitian and has the following contact phone number (815) 342-6205.

The enumeration date for this NPI number is 8/2/2022 and was last updated on 10/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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