Functional Health Revolution

LBN: Functional Health Revolution
Functional Health Revolution is an health care organization with primary practice located at 4445 Corporation Ln Ste 264 , Virginia Beach VA 23462-3671. The organization recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as the primary health care specialty. Functional Health Revolution can be contacted via phone (703) 214-5121, or through Seidl, Kim via phone (703) 214-5121.

Contact Information

Primary practice address
4445 Corporation Ln Ste 264 Virginia Beach VA 23462-3671
Phone: (703) 214-5121
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Seidl, Kim
Phone: (703) 214-5121

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X

Profile Details

NPI number 1396521134
LBN Legal business name Functional Health Revolution
DBA Doing business as
Authorized official Seidl, Kim
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2023
Last updated Sep 7th, 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.

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