Nutrition Core, Llc is a
Dietitian, Registered based in Catoosa, Oklahoma. Nutrition Core, Llc is licensed to practice in Oklahoma (license number 1312) and their current practice location is
1305 N Highway 66, Suite B, Catoosa, Oklahoma. It can be reached at their office (for appointments etc.) via phone at
(918) 557-0022.
NPI number for Nutrition Core, Llc is 1265741748 and their current mailing address is 15336 E 470 Rd, Claremore, Oklahoma. Nutrition Core, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1265741748.
Healthcare Provider's Profile
| Full Name | Nutrition Core, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Dietitian, Registered |
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| Location | 1305 N Highway 66, Catoosa, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265741748
- Provider Enumeration Date: 09/30/2010
- Last Update Date: 09/30/2010
Medical Identifiers
Medical identifiers for Nutrition Core, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1265741748 | NPI | - | NPPES |
| 1285716803 | Other | OK | NPI |
| 200049320B | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 1312 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nutrition Core, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Nutrition Core, Llc 15336 E 470 Rd, Claremore, OK 74017-5372 Ph: () - | Nutrition Core, Llc 1305 N Highway 66, Suite B, Catoosa, OK 74015-2460 Ph: (918) 557-0022 |
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