Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BACK 2 BASICS NUTRITION LLC
Active OrganizationBACK 2 BASICS NUTRITION LLC is a Pediatric Nutrition organization located in FREDERICK, Maryland. NPI 1407301542 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nutrition · FREDERICK, MD
Registration Details
- NPI Number
- 1407301542
- Provider Type
- Organization
- NPI Issued
- Aug 18, 2016 (9.9930218294821 yrs)
- Last Updated
- Jul 24, 2023
- License
-
DX3870 (MD)
Practice Information
- Address
-
5216 CHAIRMANS CT STE 104FREDERICK, MD, 217032858Browse MD providers · Browse ZIP 21703
- Phone
- 4105984336
- Fax
- 4432806441
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
- Additional Specialty
- Registered Dietitian
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Pediatric Occupational Therapist
- Additional Specialty
- Speech, Language and Hearing Specialist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.