Provider Demographics
NPI:1912364613
Name:HEALTH FITNESS CONNECTIONS LLC
Entity Type:Organization
Organization Name:HEALTH FITNESS CONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:ELLIOTT
Authorized Official - Last Name:BAXTER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:267-235-8789
Mailing Address - Street 1:93 OLD YORK RD
Mailing Address - Street 2:SUITE 1-732
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-3925
Mailing Address - Country:US
Mailing Address - Phone:267-235-8789
Mailing Address - Fax:267-386-1158
Practice Address - Street 1:93 OLD YORK RD
Practice Address - Street 2:SUITE 1-732
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046
Practice Address - Country:US
Practice Address - Phone:267-235-8789
Practice Address - Fax:267-386-1158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-26
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty