Provider Demographics
NPI:1942073036
Name:FUELING WELL LLC
Entity Type:Organization
Organization Name:FUELING WELL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ALLIED HEALTHCARE PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LDN
Authorized Official - Phone:717-341-0005
Mailing Address - Street 1:210 BROWNING RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-4051
Mailing Address - Country:US
Mailing Address - Phone:717-341-0005
Mailing Address - Fax:
Practice Address - Street 1:210 BROWNING RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-4051
Practice Address - Country:US
Practice Address - Phone:717-341-0005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty