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ENDOBIOGENIC INTEGRATIVE MEDICAL CENTER NPI 1821239781


NPI Information

NPI: 1821239781
Provider Name: ENDOBIOGENIC INTEGRATIVE MEDICAL CENTER
Classification: Nutritionist - 133N00000X
Entity Type: Organization
Address:
357 W CENTER ST STE 204
POCATELLO, ID
ZIP 83204
Phone: (208) 478-8400
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ENDOBIOGENIC INTEGRATIVE MEDICAL CENTER is a nutritionist in Pocatello, ID. The provider is a specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. ENDOBIOGENIC INTEGRATIVE MEDICAL CENTER NPI is 1821239781. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

357 W CENTER ST STE 204
POCATELLO, ID
ZIP 83204-236
Phone: (208) 478-8400
Fax: (208) 232-6018

The provider's authorized official is Annette Nica Davis .
The authorized official title is Administrator and has the following contact phone number (208) 478-8400.

The enumeration date for this NPI number is 3/23/2009 and was last updated on 3/23/2009.


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
1133N00000XNutritionistIDAHOYes

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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