IDEAL BODY WELLNESS; NPI #1639515331

Contact Information

IDEAL BODY WELLNESS

8206 LEESBURG PIKE STE 302
VIENNA, VA 22182-2614

Phone: 703-856-6803
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Nutrition, Education	133NN1002X

Indicates primary specialty

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NPI Profile & details for IDEAL BODY WELLNESS

NPI Number	`1639515331`
LBN Legal business name	IDEAL BODY WELLNESS
Authorized official	MICHAEL MAHONEY - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/21/2013
Last updated	05/21/2013 - 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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IDEAL BODY WELLNESS

Contact Information

Specialty

Nutrition, Education

NPI Profile & details for IDEAL BODY WELLNESS

Reviews for IDEAL BODY WELLNESS