Provider Demographics
NPI:1932389749
Name:RENAL NUTRITION CONSULTANTS INC.
Entity Type:Organization
Organization Name:RENAL NUTRITION CONSULTANTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RENAL DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:D
Authorized Official - Last Name:PIEPER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, RD
Authorized Official - Phone:810-923-5600
Mailing Address - Street 1:PO BOX 439
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48480-0439
Mailing Address - Country:US
Mailing Address - Phone:810-923-5600
Mailing Address - Fax:
Practice Address - Street 1:5080 VILLA LINDE PKWY
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3423
Practice Address - Country:US
Practice Address - Phone:810-720-0162
Practice Address - Fax:810-720-0301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-08
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, RenalGroup - Single Specialty