Provider Demographics
NPI:1790296366
Name:MARGIE URYASZ LLC
Entity Type:Organization
Organization Name:MARGIE URYASZ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:URYASZ
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, LD
Authorized Official - Phone:806-787-2112
Mailing Address - Street 1:4005 SHADYBROOK CIR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-8629
Mailing Address - Country:US
Mailing Address - Phone:806-787-2112
Mailing Address - Fax:
Practice Address - Street 1:198 MORGANTOWN ST
Practice Address - Street 2:
Practice Address - City:BRUCETON MILLS
Practice Address - State:WV
Practice Address - Zip Code:26525-5003
Practice Address - Country:US
Practice Address - Phone:806-787-2112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1066133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty