Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BACK 2 BASICS NUTRITION LLC
Active OrganizationPediatric Nutrition · FREDERICK, MD
Registration Details
- NPI Number
- 1407301542
- Provider Type
- Organization
- NPI Issued
- Aug 18, 2016 (9.6768489293143 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.