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Contact Information

CASE SPECIFIC NUTRITION LLC
5750 BAUM BLVD STE 306
PITTSBURGH, PA15206-3793
 Phone: 412-593-2048
 Fax: 844-311-7396
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for CASE SPECIFIC NUTRITION LLC

NPI Number 1063025302
LBN Legal business name CASE SPECIFIC NUTRITION LLC
Authorized official ROBERT MARTY - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/26/2020
Last updated 02/15/2023 - About 3 years ago
Identifiers
PA Medicaid 1038862390001
PA Medicaid 1038862390002
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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