Western Reserve Nutrition is a
Dietitian, Registered based in Streetsboro, Ohio. Western Reserve Nutrition is licensed to practice in Ohio (license number 4344) and their current practice location is
9205 State Route 43 Ste 106, Streetsboro, Ohio. It can be reached at their office (for appointments etc.) via phone at
(330) 554-9327.
NPI number for Western Reserve Nutrition is 1356883474 and their current mailing address is 5757 Bradford Way, Hudson, Ohio. Western Reserve Nutrition
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1356883474.
Healthcare Provider's Profile
| Full Name | Western Reserve Nutrition |
|---|
| Type | Facility |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 9205 State Route 43 Ste 106, Streetsboro, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356883474
- Provider Enumeration Date: 11/07/2016
- Last Update Date: 11/12/2020
Medical Identifiers
Medical identifiers for Western Reserve Nutrition such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356883474 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 4344 (Ohio) | 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. Western Reserve Nutrition 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 |
Western Reserve Nutrition 5757 Bradford Way, Hudson, OH 44236-3901 Ph: (330) 554-9327 | Western Reserve Nutrition 9205 State Route 43 Ste 106, Streetsboro, OH 44241-5366 Ph: (330) 554-9327 |
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