A.M. Wade Nutrition Group Llc
LBN: Case Specific Nutrition Llc
A.M. Wade Nutrition Group Llc is an health care organization with primary practice located at 5750 Baum Blvd Ste 306 , Pittsburgh PA 15206-3793. The organization recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Nursing Service Providers / Diabetes Educator, Other Service Providers / Health Educator. Nursing Service Providers / Diabetes Educator is the primary health care specialty.
Case Specific Nutrition Llc can be contacted via phone (412) 593-2048, or through Marty, Robert via phone (412) 726-5607.
Contact Information
Primary practice address
5750 Baum Blvd Ste 306
Pittsburgh PA 15206-3793
Phone: (412) 593-2048
Fax: (844) 311-7396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | ||
| Nursing Service Providers / Diabetes Educator | 163WD0400X | ||
| Other Service Providers / Health Educator | 174H00000X |
Profile Details
| NPI number | 1063025302 |
|---|---|
| LBN Legal business name | Case Specific Nutrition Llc |
| DBA Doing business as | A.M. Wade Nutrition Group Llc |
| Authorized official | Marty, Robert |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 26th, 2020 |
| Last updated | Feb 15th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063025302 | NPPES |
| Pennsylvania | MEDICAID | 1038862390002 | |
| Pennsylvania | MEDICAID | 1038862390001 |
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