Advantage Nutrition & Wellness, Llc

LBN: Advantage Nutrition & Wellness, Llc
Advantage Nutrition & Wellness, Llc is an health care organization with primary practice located at 961 Marcon Blvd Ste 115 , Allentown PA 18109-9371. The organization recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as the primary health care specialty. Advantage Nutrition & Wellness, Llc can be contacted via phone (610) 443-1885, or through Doane, Jennifer Marie via phone (610) 443-1885.

Contact Information

Primary practice address
961 Marcon Blvd Ste 115 Allentown PA 18109-9371
Phone: (610) 443-1885
Fax: (610) 443-1685
Website:
Map and Directions
Authorized official contact:
Name: Doane, Jennifer Marie RD, LDN, ATC
Phone: (610) 443-1885

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN001283 Pennsylvania
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN003573 Pennsylvania

Profile Details

NPI number 1710168638
LBN Legal business name Advantage Nutrition & Wellness, Llc
DBA Doing business as
Authorized official Doane, Jennifer Marie RD, LDN, ATC
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2007
Last updated May 13th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710168638 NPPES
Pennsylvania MEDICAID 102392708

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