Provider Demographics
NPI:1235827403
Name:RD NUTRITION CONSULTANTS LLC
Entity Type:Organization
Organization Name:RD NUTRITION CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:DELAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-502-2069
Mailing Address - Street 1:505 CORNHUSKER RD STE 105-336
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-7913
Mailing Address - Country:US
Mailing Address - Phone:888-502-2069
Mailing Address - Fax:
Practice Address - Street 1:505 CORNHUSKER RD STE 105-336
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-7913
Practice Address - Country:US
Practice Address - Phone:888-502-2069
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty