1326447913 NPI number — NUTRITION HEALTHWORKS LLC

Table of content: (NPI 1326447913)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326447913 NPI number — NUTRITION HEALTHWORKS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NUTRITION HEALTHWORKS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326447913
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/13/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
172 WILLIAMSON RD UNIT 5205
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOORESVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28117-5000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-562-8373
Provider Business Mailing Address Fax Number:
704-680-6672

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
736 BRAWLEY SCHOOL RD STE G
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOORESVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28117-9283
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-380-4655
Provider Business Practice Location Address Fax Number:
704-680-6672
Provider Enumeration Date:
08/19/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CHILCOT
Authorized Official First Name:
TRAVIS
Authorized Official Middle Name:
BARTON
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
704-380-4655

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)