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Contact Information

CASE SPECIFIC NUTRITION LLC
5750 BAUM BLVD STE 306
PITTSBURGH, PA15206-3793
 Phone: 412-593-2048
 Fax: 844-311-7396
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for CASE SPECIFIC NUTRITION LLC · (Female)

NPI # 1063025302
Status Active
Credentials
Entity Individual
Enumeration date 08/26/2020
Last updated 02/15/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA Medicaid 1038862390001
  • PA Medicaid 1038862390002
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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