Diabetes Fundamentals Llc
LBN: Diabetes Fundamentals Llc
Diabetes Fundamentals Llc is an health care organization with primary practice located at 405 Hazel St , Zelienople PA 16063-1016. The organization recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Other Service Providers / Specialist, Other Service Providers / Health Educator. Dietary & Nutritional Service Providers / Dietitian, Registered is the primary health care specialty.
Diabetes Fundamentals Llc can be contacted via phone (724) 900-9075, or through Funair, Lacey via phone (724) 900-9075.
Contact Information
Primary practice address
405 Hazel St
Zelienople PA 16063-1016
Phone: (724) 900-9075
Fax: (724) 382-7709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | ||
| Other Service Providers / Specialist | 174400000X | ||
| Other Service Providers / Health Educator | 174H00000X |
Profile Details
| NPI number | 1568147874 |
|---|---|
| LBN Legal business name | Diabetes Fundamentals Llc |
| DBA Doing business as | |
| Authorized official | Funair, Lacey MS,RDN,CDCES,BC-ADM |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 15th, 2023 |
| Last updated | Jun 19th, 2024 - 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 | 1568147874 | NPPES |
| Pennsylvania | MEDICAID | 1041869230001 |
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