Proactive Nutrition & Wellness Inc

LBN: Proactive Nutrition & Wellness Inc
Proactive Nutrition & Wellness Inc is an health care organization with primary practice located at 1455 Laurel Ave , Coos Bay OR 97420-2167. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Proactive Nutrition & Wellness Inc can be contacted via phone (727) 409-0016, or through Winquist, Andrew via phone (727) 409-0016.

Contact Information

Primary practice address
1455 Laurel Ave Coos Bay OR 97420-2167
Fax:
Website:
Authorized official contact:
Name: Winquist, Andrew RD/LDN

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1467075663
LBN Legal business name Proactive Nutrition & Wellness Inc
DBA Doing business as
Authorized official Winquist, Andrew RD/LDN
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2020
Last updated May 21st, 2020 - about 5 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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