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NUTRA LLC NPI 1982854121


NPI Information

NPI: 1982854121
Provider Name: NUTRA, LLC

Doing Business As: NUTRITION CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
14805 CLAYTON RD
CHESTERFIELD, MO
ZIP 63017
Phone: (636) 386-3333
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NUTRA, LLC is a clinic center in Chesterfield, MO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NUTRA, LLC NPI is 1982854121. The provider is registered as an organization entity type.
The provider Is Doing Business As Nutrition Clinic.

The provider's business location address is:

14805 CLAYTON RD
CHESTERFIELD, MO
ZIP 63017-881
Phone: (636) 386-3333
Fax: (636) 527-2570

The provider's authorized official is Hugh J ST. ONGEOnge .
The authorized official title is Owner and has the following contact phone number (314) 482-0732.

The enumeration date for this NPI number is 9/24/2008 and was last updated on 9/24/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center17126991MISSOURIYes

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: 11/14/2023

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