Provider Demographics
NPI:1184102170
Name:AMS NUTRITION COUNSELING PLLC
Entity type:Organization
Organization Name:AMS NUTRITION COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHULTS
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:716-266-6056
Mailing Address - Street 1:6411B DYSINGER RD
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-9398
Mailing Address - Country:US
Mailing Address - Phone:716-266-6056
Mailing Address - Fax:716-332-6412
Practice Address - Street 1:6411B DYSINGER RD
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-9398
Practice Address - Country:US
Practice Address - Phone:716-266-6056
Practice Address - Fax:716-332-6412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-01
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty