Provider Demographics
NPI:1316185630
Name:WEBNUTRI COM CONSULTING, LLC
Entity Type:Organization
Organization Name:WEBNUTRI COM CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:SHEFALI
Authorized Official - Middle Name:
Authorized Official - Last Name:AJMERA
Authorized Official - Suffix:
Authorized Official - Credentials:MS,RD,LD
Authorized Official - Phone:972-385-0554
Mailing Address - Street 1:2735 VILLA CREEK DR
Mailing Address - Street 2:SUITE 261
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7454
Mailing Address - Country:US
Mailing Address - Phone:972-385-0554
Mailing Address - Fax:888-668-6889
Practice Address - Street 1:2735 VILLA CREEK DR
Practice Address - Street 2:SUITE 261
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7454
Practice Address - Country:US
Practice Address - Phone:972-385-0554
Practice Address - Fax:888-668-6889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-23
Last Update Date:2011-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT80407133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty