Remission Functional Medicine

LBN: Indomitable Spirit, Llc
Remission Functional Medicine is an health care organization with primary practice located at 12020 Sunrise Valley Dr Ste 100 , Reston VA 20191-3429. The organization recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Dietary & Nutritional Service Providers / Nutritionist is the primary health care specialty. Indomitable Spirit, Llc can be contacted via phone (703) 376-7768, or through Kaplan, Janell via phone (703) 376-7768.

Contact Information

Primary practice address
12020 Sunrise Valley Dr Ste 100 Reston VA 20191-3429
Phone: (703) 376-7768
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kaplan, Janell
Phone: (703) 376-7768

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1801499165
LBN Legal business name Indomitable Spirit, Llc
DBA Doing business as Remission Functional Medicine
Authorized official Kaplan, Janell
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2020
Last updated Aug 31st, 2021 - about 3 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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