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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

NPI # 1811249758
LBN Legal business name TRANSFORM DIET AND WELLNESS CENTER, LLC
Authorized official AMELIA TOLLEFSON - (NURSE PRACTIONER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/02/2012
Last updated 10/02/2012 - About 14 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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