Essential Nutrition, Inc in Boulder - Clinic/center
Essential Nutrition, Inc - NPI 1104043553
Essential Nutrition, Inc is a Clinic/center in Boulder, Colorado. Essential Nutrition, Inc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Essential Nutrition, Inc is 1104043553. The last update date is 2020-08-22.
Essential Nutrition, Inc's current location address is 4730 Walnut St, Boulder, Colorado. You can contact this provider via phone number 3037254343 and fax number 3035460047. The mailing address for Essential Nutrition, Inc is 4730 Walnut St, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Essential Nutrition, Inc |
|---|---|
| Address | 4730 Walnut St, Boulder, Colorado |
| Phone Number | 3037254343 |
| Fax Number | 3035460047 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | High Marie Lisa |
| Credentials | M.S., R.D. |
| Telephone Number | 3037254343 |
NPI Number Detail
| NPI Number | 1104043553 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4730 Walnut St |
|---|---|
| City | Boulder |
| State | Colorado (CO) |
| Post Code | 803012558 |
| Phone Number | 3037254343 |
| Fax Number | 3035460047 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 838488 |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Post Comment/ Review Below
What is the unique identifier code issued to Essential Nutrition, Inc by the Centers for Medicare & Medicaid Services?
The Essential Nutrition, Inc has been assigned the NPI (National Provider Identifier) 1104043553. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Essential Nutrition, Inc is geographically located?
The Essential Nutrition, Inc is physically situated at the following location: 4730 Walnut St, Boulder, CO, 803012558.
What is the Essential Nutrition, Inc's area of specialization and corresponding taxonomy classification?
The Essential Nutrition, Inc's specialty field is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their specialties.
When was the Essential Nutrition, Inc's 1104043553 issued?
The Essential Nutrition, Inc's 1104043553 was issued on 2007-04-19.
As of what date was the information pertaining to Essential Nutrition, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Essential Nutrition, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1356344279
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