SUPERSALE CORPORATION NPI 1235541087

NPI Information

NPI: 1235541087
Provider Name: SUPERSALE CORPORATION

Doing Business As: GIANT EAGLE #665

Classification: Dietitian, Registered - 133VN1006X
Entity Type: Organization

Specialization: Nutrition, Metabolic

Address:
20111 ROUTE 19
CRANBERRY TOWNSHIP, PA
ZIP 16066
Phone: (724) 772-1030
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SUPERSALE CORPORATION is a nutrition and metabolic dietitian registered in Cranberry Township, PA. SUPERSALE CORPORATION NPI is 1235541087. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Giant Eagle #665.

The provider's business location address is:

20111 ROUTE 19
CRANBERRY TOWNSHIP, PA
ZIP 16066-207
Phone: (724) 772-1030
Fax: (724) 772-2841

The provider's authorized official is Katie Sipe .
The authorized official title is Registed Dietitian and has the following contact phone number (724) 772-1030.

The enumeration date for this NPI number is 5/28/2014 and was last updated on 5/28/2014.

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	133VN1006X	Dietitian, Registered	Nutrition, Metabolic	DN004225	PENNSYLVANIA	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

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