Provider Demographics
NPI:1275867426
Name:NUTRITION RESULTS, LLC
Entity Type:Organization
Organization Name:NUTRITION RESULTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHAL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LD
Authorized Official - Phone:614-476-8782
Mailing Address - Street 1:295 SUMPTION DR
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-1639
Mailing Address - Country:US
Mailing Address - Phone:614-476-8782
Mailing Address - Fax:215-895-9921
Practice Address - Street 1:295 SUMPTION DR
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-1639
Practice Address - Country:US
Practice Address - Phone:614-476-8782
Practice Address - Fax:215-895-9921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0807261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service