One Source Nutrition, Llc in Stamford - Health Service
One Source Nutrition, Llc - NPI 1871504142
One Source Nutrition, Llc is a Health Service in Stamford, Connecticut. One Source Nutrition, Llc practices all healthcare services and medical treatments related to Health Service. The NPI Number for One Source Nutrition, Llc is 1871504142. The last update date is 2020-08-22.
One Source Nutrition, Llc's current location address is 668 Glenbrook Rd Apt 33, Stamford, Connecticut. You can contact this provider via phone number 9176977614. The mailing address for One Source Nutrition, Llc is 668 Glenbrook Rd Apt 33, Stamford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | One Source Nutrition, Llc |
|---|---|
| Address | 668 Glenbrook Rd Apt 33, Stamford, Connecticut |
| Phone Number | 9176977614 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Stokes Milton Donald |
| Credentials | MPH, RD, C |
| Telephone Number | 9176977614 |
NPI Number Detail
| NPI Number | 1871504142 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 668 Glenbrook Rd Apt 33 |
|---|---|
| City | Stamford |
| State | Connecticut (CT) |
| Post Code | 69061434 |
| Phone Number | 9176977614 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 261Qh0100X |
| Licence No | 764 |
|
Definition: Provides general outpatient medical care by physicians and other providers. |
|
Post Comment/ Review Below
What is the One Source Nutrition, Llc's 1871504142?
The One Source Nutrition, Llc's NPI (National Provider Identifier) Number is 1871504142. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where One Source Nutrition, Llc is geographically located?
The One Source Nutrition, Llc is physically situated at the following location: 668 Glenbrook Rd Apt 33, Stamford, CT, 69061434.
What is the area of specialization for One Source Nutrition, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for One Source Nutrition, Llc is Health Service, and the corresponding taxonomy code that categorizes this area of expertise is 261Qh0100X.
On what date did the One Source Nutrition, Llc receive the assignment of its 1871504142 from the Centers for Medicare & Medicaid Services?
The One Source Nutrition, Llc was issued its 1871504142 by the Centers for Medicare & Medicaid Services on 2006-08-11.
When was the information related to One Source Nutrition, Llc most recently updated or refreshed?
The details pertaining to the One Source Nutrition, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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