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PROFESSIONAL DIETITIAN SERVICES LLC NPI 1114465044


NPI Information

NPI: 1114465044
Provider Name: PROFESSIONAL DIETITIAN SERVICES, LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
29519 HARPER AVE
SAINT CLAIR SHORES, MI
ZIP 48081
Phone: (586) 234-3871
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PROFESSIONAL DIETITIAN SERVICES, LLC is a health service clinic center in Saint Clair Shores, MI. PROFESSIONAL DIETITIAN SERVICES, LLC NPI is 1114465044. The provider is registered as an organization entity type.

The provider's business location address is:

29519 HARPER AVE
SAINT CLAIR SHORES, MI
ZIP 48081-275
Phone: (586) 234-3871
Fax: (586) 343-8773

The provider's authorized official is Amanda Alame .
The authorized official title is Registered Dietitian and has the following contact phone number (313) 912-4798.

The enumeration date for this NPI number is 2/12/2017 and was last updated on 3/21/2017.


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
1261QH0100XClinic/CenterHealth ServiceF0803NMICHIGANYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.