National Provider Identifier Database

FUEL2LIVE NUTRITION LLC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

FUEL2LIVE NUTRITION, LLC
48 SUDAN ST APT 3
DORCHESTER, MA02125-2079
Phone: 617-308-0107
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for FUEL2LIVE NUTRITION, LLC

NPI Number 1104560374
Legal business name
LBN
FUEL2LIVE NUTRITION, LLC
Authorized official MICHELLE CASLIN - (OWNER/REGISTERED DIETITIAN)
Entity Organization
Organization subpart No
Enumeration date 04/25/2022
Last updated 04/25/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • MA Medicaid: 1003396417

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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