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Contact Information

EASTSIDE NUTRITION LLC
333 N WILMOT RD
SUITE 340
TUCSON, AZ85711-2631
 Phone: 520-618-5383
 Fax: 520-918-3031
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for EASTSIDE NUTRITION LLC

NPI # 1619219631
LBN Legal business name EASTSIDE NUTRITION LLC
Authorized official STEPHANIE JONES - (OWNER/REGISTERRED DIETITIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 03/18/2013
Last updated 03/18/2013 - About 13 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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