Fuel2Live Nutrition, Llc

LBN: Fuel2Live Nutrition, Llc
Fuel2Live Nutrition, Llc is an health care organization with primary practice located at 48 Sudan St Apt 3 , Dorchester MA 02125-2079. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Fuel2Live Nutrition, Llc can be contacted via phone (617) 308-0107, or through Caslin, Michelle Marie via phone (617) 308-0107.

Contact Information

Primary practice address
48 Sudan St Apt 3 Dorchester MA 02125-2079
Phone: (617) 308-0107
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Caslin, Michelle Marie Registered Dietitian (RD)
Phone: (617) 308-0107

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X

Profile Details

NPI number 1104560374
LBN Legal business name Fuel2Live Nutrition, Llc
DBA Doing business as
Authorized official Caslin, Michelle Marie Registered Dietitian (RD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2022
Last updated Apr 25th, 2022 - about 2 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 1104560374 NPPES
Massachusetts MEDICAID 1003396417

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