Provider Demographics
NPI:1568051100
Name:ECNUTRITION LLC
Entity Type:Organization
Organization Name:ECNUTRITION LLC
Other - Org Name:DIETDETROIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:H
Authorized Official - Last Name:CAMIENER
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:248-563-6866
Mailing Address - Street 1:240 MILLRACE RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-3837
Mailing Address - Country:US
Mailing Address - Phone:248-563-6866
Mailing Address - Fax:
Practice Address - Street 1:4050 W MAPLE RD STE 108
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48301-3118
Practice Address - Country:US
Practice Address - Phone:248-563-6866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Single Specialty