Nutritional Medicine Of Idaho in Boise - Nutrition, Education
Nutritional Medicine Of Idaho - NPI 1467621383
Nutritional Medicine Of Idaho is a Nutrition, Education in Boise, Idaho. Nutritional Medicine Of Idaho practices all healthcare services and medical treatments related to Nutrition, Education. The NPI Number for Nutritional Medicine Of Idaho is 1467621383. The last update date is 2008-02-25.
Nutritional Medicine Of Idaho's current location address is 1520 W State St, Boise, Idaho. You can contact this provider via phone number 2083433883 and fax number 2082872010. The mailing address for Nutritional Medicine Of Idaho is 1520 W State St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Nutritional Medicine Of Idaho |
|---|---|
| Address | 1520 W State St, Boise, Idaho |
| Phone Number | 2083433883 |
| Fax Number | 2082872010 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Macha R Matthew |
| Credentials | M.D. |
| Telephone Number | 2083433883 |
NPI Number Detail
| NPI Number | 1467621383 |
|---|---|
| Provider Enumeration Date | 2008-02-25 |
| Last Updated Date | 2008-02-25 |
Provider Mailing Address Detail
| Address | 1520 W State St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837024085 |
| Phone Number | 2083433883 |
| Fax Number | 2082872010 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Education |
|---|---|
| Taxonomy | 133Nn1002X |
| Licence No | D043 |
|
Definition: A nutritionist who educates people about nutrition and healthy eating. |
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What is the unique 10-digit identification code issued to Nutritional Medicine Of Idaho by the Centers for Medicare & Medicaid Services?
The Nutritional Medicine Of Idaho has been assigned the NPI (National Provider Identifier) 1467621383 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Nutritional Medicine Of Idaho?
The Nutritional Medicine Of Idaho is situated at 1520 W State St, in the city of Boise, state of ID, with the zip code 837024085.
What is the Nutritional Medicine Of Idaho's area of specialization and corresponding taxonomy classification?
The Nutritional Medicine Of Idaho's specialty field is Nutrition, Education, and it falls under the taxonomy code 133Nn1002X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1467621383 to Nutritional Medicine Of Idaho?
The Centers for Medicare & Medicaid Services originally issued the 1467621383 to Nutritional Medicine Of Idaho on 2008-02-25.
When was the information pertaining to Nutritional Medicine Of Idaho most recently updated or revised?
The details related to Nutritional Medicine Of Idaho, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-25.
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