Medical Nutritional Therapists, Inc in Fort Wayne - Dietitian, Registered
Medical Nutritional Therapists, Inc - NPI 1619919263
Medical Nutritional Therapists, Inc is a Dietitian, Registered in Fort Wayne, Indiana. Medical Nutritional Therapists, Inc practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Medical Nutritional Therapists, Inc is 1619919263. The last update date is 2022-07-21.
Medical Nutritional Therapists, Inc's current location address is 4210 Flagstaff Cv, Fort Wayne, Indiana. You can contact this provider via phone number 2604899009 and fax number 2604895057. The mailing address for Medical Nutritional Therapists, Inc is 4210 Flagstaff Cv, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medical Nutritional Therapists, Inc |
|---|---|
| Address | 4210 Flagstaff Cv, Fort Wayne, Indiana |
| Phone Number | 2604899009 |
| Fax Number | 2604895057 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Holb A James |
| Credentials | RD,LD,CDE |
| Telephone Number | 2604899009 |
NPI Number Detail
| NPI Number | 1619919263 |
|---|---|
| Provider Enumeration Date | 2006-06-11 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 4210 Flagstaff Cv |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468154417 |
| Phone Number | 2604899009 |
| Fax Number | 2604895057 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
|
Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2465612 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Medical Nutritional Therapists, Inc by the Centers for Medicare & Medicaid Services?
The Medical Nutritional Therapists, Inc has been assigned the NPI (National Provider Identifier) 1619919263 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Medical Nutritional Therapists, Inc's facilities are situated?
The facilities of Medical Nutritional Therapists, Inc are physically located at the following address: 4210 Flagstaff Cv, Fort Wayne, IN, 468154417.
What is Medical Nutritional Therapists, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Medical Nutritional Therapists, Inc's specialized field of practice is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of specialization is 133V00000X.
When was the Medical Nutritional Therapists, Inc's 1619919263 issued?
The Medical Nutritional Therapists, Inc's 1619919263 was issued on 2006-06-11.
When was the Medical Nutritional Therapists, Inc's information last updated?
The Medical Nutritional Therapists, Inc's information was last updated on 2022-07-21.