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Contact Information

BE SQUARED NUTRITION LLC
515 PARK ST STE C
CHARLOTTESVILLE, VA22902-4769
 Phone: 434-234-4591
 Fax: 855-955-3898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for BE SQUARED NUTRITION LLC

NPI # 1316637812
LBN Legal business name BE SQUARED NUTRITION LLC
Authorized official BETHANY BLALOCK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2023
Last updated 05/09/2023 - About 3 years ago
Identifiers
Other 86012192 COMMISSION ON DIETETIC REGISTRATION
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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