Source Institute For Human Performance

LBN: Ivy League Health & Fitness
Source Institute For Human Performance is an health care organization with primary practice located at 66 Witherspoon St , Princeton NJ 08542-3239. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Ivy League Health & Fitness can be contacted via phone (609) 925-1159, or through Nogaki, David via phone (609) 925-1159.

Contact Information

Primary practice address
66 Witherspoon St Princeton NJ 08542-3239
Phone: (609) 925-1159
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nogaki, David C.S.C.S
Phone: (609) 925-1159

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1760641757
LBN Legal business name Ivy League Health & Fitness
DBA Doing business as Source Institute For Human Performance
Authorized official Nogaki, David C.S.C.S
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2008
Last updated Oct 30th, 2011 - about 13 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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