Grand Traverse Nutrition, Llc

LBN: Grand Traverse Nutrition, Llc
Grand Traverse Nutrition, Llc is an health care organization with primary practice located at 800 Cottageview Dr Suite 1076, Traverse City MI 49684-2616. The organization recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as the primary health care specialty. Grand Traverse Nutrition, Llc can be contacted via phone (231) 632-1522, or through Monroe, Miranda via phone (231) 632-1522.

Contact Information

Primary practice address
800 Cottageview Dr Suite 1076 Traverse City MI 49684-2616
Phone: (231) 632-1522
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Monroe, Miranda RDN
Phone: (231) 632-1522

Health care specialties

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

Profile Details

NPI number 1396160388
LBN Legal business name Grand Traverse Nutrition, Llc
DBA Doing business as
Authorized official Monroe, Miranda RDN
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2014
Last updated Feb 27th, 2014 - about 10 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 1396160388 NPPES
Michigan Other 851200 RDN - COMMISSION DIETETIC REGISTRATION

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