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Contact Information

CLINICAL WEIGHT LOSS & WELLNESS LLC
2790 MAIN ST
GLASTONBURY, CT06033-2027
 Phone: 860-430-9922
 Fax: 860-633-9922
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for CLINICAL WEIGHT LOSS & WELLNESS LLC

NPI Number 1265990030
LBN Legal business name CLINICAL WEIGHT LOSS & WELLNESS LLC
Authorized official JEANNIE LEITAO - (OWNER/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/11/2019
Last updated 10/02/2020 - About 6 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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