1083076293 NPI number — FRANK NUTRITION AND EXERCISE CONSULTING, LLC

Table of content: (NPI 1083076293)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083076293 NPI number — FRANK NUTRITION AND EXERCISE CONSULTING, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRANK NUTRITION AND EXERCISE CONSULTING, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
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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:
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NPI Number Information

NPI Number:
1083076293
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/26/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
119 POINT FOSDICK CIR NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GIG HARBOR
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98335-7858
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
253-973-1028
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
119 POINT FOSDICK CIR NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GIG HARBOR
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98335-7858
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-973-1028
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/26/2016

Additional Information

Authorized Official

Authorized Official Last Name:
FRANK
Authorized Official First Name:
LAURA
Authorized Official Middle Name:
LEWIS
Authorized Official Title or Position:
CONSULTANT
Authorized Official Telephone Number:
253-973-1028

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  DI00001069 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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