1790476919 NPI number — VITALITY WEIGHT AND HORMONE SOLUTIONS LLC

Table of content: (NPI 1790476919)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790476919 NPI number — VITALITY WEIGHT AND HORMONE SOLUTIONS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VITALITY WEIGHT AND HORMONE SOLUTIONS 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:
1790476919
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/15/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1371 BOSTON POST ROAD, #1061
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MILFORD
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06460
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-871-1953
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
203 BROAD STREET
Provider Second Line Business Practice Location Address:
SUITE C3
Provider Business Practice Location Address City Name:
MILFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06460
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-871-1953
Provider Business Practice Location Address Fax Number:
475-275-7232
Provider Enumeration Date:
05/18/2023

Additional Information

Authorized Official

Authorized Official Last Name:
CHARLES
Authorized Official First Name:
LESLEY
Authorized Official Middle Name:
NICOLE
Authorized Official Title or Position:
FOUNDER/OWNER
Authorized Official Telephone Number:
203-871-1953

Provider Taxonomy Codes

  • Taxonomy code: 207RE0101X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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