Modern Medical Nutrition Therapy, Llc

LBN: Modern Medical Nutrition Therapy, Llc
Modern Medical Nutrition Therapy, Llc is an health care organization with primary practice located at 530 S 13Th St Ste 100, Lincoln NE 68508-2710. The organization recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as the primary health care specialty. Modern Medical Nutrition Therapy, Llc can be contacted via phone (402) 618-0209, or through Ovonlen, Raphael via phone (402) 618-0209.

Contact Information

Primary practice address
530 S 13Th St Ste 100 Lincoln NE 68508-2710
Phone: (402) 618-0209
Fax: (402) 905-0321
Website:
Map and Directions
Authorized official contact:
Name: Ovonlen, Raphael MPH, MS, RDN, LMNT,
Phone: (402) 618-0209

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 752 Nebraska

Profile Details

NPI number 1699217885
LBN Legal business name Modern Medical Nutrition Therapy, Llc
DBA Doing business as
Authorized official Ovonlen, Raphael MPH, MS, RDN, LMNT,
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2016
Last updated Nov 5th, 2016 - 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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