Keystone Nutrition, Llc

LBN: Keystone Nutrition, Llc
Keystone Nutrition, Llc is an health care organization with primary practice located at 11710 Plaza America Dr Suite 2000, Reston VA 20190-4742. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Renal. Dietary & Nutritional Service Providers / Dietitian, Registered is the primary health care specialty. Keystone Nutrition, Llc can be contacted via phone (478) 239-3552, or through Thomas, Austin via phone (478) 239-3552.

Contact Information

Primary practice address
11710 Plaza America Dr Suite 2000 Reston VA 20190-4742
Phone: (478) 239-3552
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Austin MS,RDN,LDN
Phone: (478) 239-3552

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN005391 Pennsylvania
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 86003242 Virginia

Profile Details

NPI number 1790162691
LBN Legal business name Keystone Nutrition, Llc
DBA Doing business as
Authorized official Thomas, Austin MS,RDN,LDN
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2015
Last updated Apr 29th, 2015 - about 9 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 1790162691 NPPES
Virginia Other 1649667528 NPI

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