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Contact Information

ENVIRO-BALANCE NUTRITION,LLC
716 S MAIN ST
RUSSELL, PA16345-1154
 Phone: 814-706-8518
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Education

133NN1002X
 

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for ENVIRO-BALANCE NUTRITION,LLC

NPI Number 1982074761
LBN Legal business name ENVIRO-BALANCE NUTRITION,LLC
Authorized official PAMELA ENGLISH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2015
Last updated 10/24/2017 - About 9 years ago
Identifiers
PA License # DN004842
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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