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Contact Information

TRANSFORM DIET AND WELLNESS CENTER, LLC
1231 GEORGE TOWNE DR STE B
PEWAUKEE, WI53072-2757
 Phone: 262-746-9088
 Fax: 262-746-9087
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietary Manager

132700000X
Indicates primary specialty

NPI Profile & details for TRANSFORM DIET AND WELLNESS CENTER LLC · (Female)

NPI # 1811249758
Status Active
Credentials
Entity Individual
Enumeration date 10/02/2012
Last updated 10/02/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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