Provider Demographics
NPI:1033841184
Name:JOSEPH SWALES, REGISTERED DIETITIAN-NUTRITIONIST, LLC
Entity Type:Organization
Organization Name:JOSEPH SWALES, REGISTERED DIETITIAN-NUTRITIONIST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SWALES
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:908-319-3902
Mailing Address - Street 1:1208 MONROE AVE
Mailing Address - Street 2:
Mailing Address - City:DUNMORE
Mailing Address - State:PA
Mailing Address - Zip Code:18509-2808
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1208 MONROE AVE
Practice Address - Street 2:
Practice Address - City:DUNMORE
Practice Address - State:PA
Practice Address - Zip Code:18509-2808
Practice Address - Country:US
Practice Address - Phone:908-319-3902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty