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Contact Information

INGRAM'S NUTRITION CONSULTATIONS
219 E GREGG ST
SHREVEPORT, LA71104-5158
 Phone: 318-572-6157
 Fax: 800-708-7349
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for INGRAM'S NUTRITION CONSULTATIONS

NPI Number 1497250559
LBN Legal business name INGRAM'S NUTRITION CONSULTATIONS
Authorized official JULIETTE SHIVERS - (CEO/COMMUNITY NUTRITION)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2018
Last updated 07/15/2021 - About 5 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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