1932332483 NPI number — SOUND NUTRITION SERVICES

Table of content: (NPI 1932332483)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932332483 NPI number — SOUND NUTRITION SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUND NUTRITION SERVICES
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:
1932332483
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/11/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
420 ORCHARD AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BECKLEY
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
25801-4118
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-673-5916
Provider Business Mailing Address Fax Number:
877-616-9558

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
420 ORCHARD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BECKLEY
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25801-4118
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-673-5916
Provider Business Practice Location Address Fax Number:
877-616-9558
Provider Enumeration Date:
09/01/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
EDWARD
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
304-673-5916

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  598 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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