| Tks Nutrition, Llc | |
|
244 Manchester Way Middletown DE 19709-2132 | |
| (302) 897-2088 | |
| (302) 376-9261 |
| Full Name | Tks Nutrition, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 244 Manchester Way, Middletown, Delaware |
| Authorized Official Name and Position | Tracey K Sinibaldi (OWNER/ REGISTERED DIETITIAN) |
| Authorized Official Contact | 3028972088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tks Nutrition, Llc 244 Manchester Way Middletown DE 19709-2132 Ph: (302) 897-2088 | Tks Nutrition, Llc 244 Manchester Way Middletown DE 19709-2132 Ph: (302) 897-2088 |
| NPI Number | 1811126980 |
|---|---|
| Provider Enumeration Date | 07/09/2009 |
| Last Update Date | 07/09/2009 |
| Medicare PECOS PAC ID | 0941453625 |
|---|---|
| Medicare Enrollment ID | O20130107000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811126980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 208206179 (Delaware) | Primary |
| Provider Name | Tracey K Sinibaldi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891993283 PECOS PAC ID: 8628162922 Enrollment ID: I20130107000103 |
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