Provider Demographics
NPI:1447794235
Name:CRANDALL & ASSOCIATES CONSULTING
Entity Type:Organization
Organization Name:CRANDALL & ASSOCIATES CONSULTING
Other - Org Name:CRANDALL CORPORATE DIETITIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO & PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRANDALL
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:888-546-3273
Mailing Address - Street 1:PO BOX 31060
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85275-1060
Mailing Address - Country:US
Mailing Address - Phone:888-546-3273
Mailing Address - Fax:480-291-9136
Practice Address - Street 1:1930 N ARBOLEDA
Practice Address - Street 2:SUITE 101
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213-3212
Practice Address - Country:US
Practice Address - Phone:888-546-3273
Practice Address - Fax:480-291-9136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-13
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty