Provider Demographics
NPI:1477247237
Name:EARN IT PERFORMANCE NUTRITION LLC
Entity Type:Organization
Organization Name:EARN IT PERFORMANCE NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:ERNAT
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:815-303-3577
Mailing Address - Street 1:3105 S 47TH ST APT C33
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-5561
Mailing Address - Country:US
Mailing Address - Phone:815-303-3577
Mailing Address - Fax:
Practice Address - Street 1:3105 S 47TH ST APT C33
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-5561
Practice Address - Country:US
Practice Address - Phone:815-303-3577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty