Fuel2live Nutrition, LLC
Preferred Provider Organization in Dorchester, Massachusetts
1104560374- Practice location
- 48 Sudan St Apt 3, Dorchester, MA 02125-2079
- Phone
- 617-308-0107
- Fax
- —
- Last updated
- April 25, 2022
Fuel2live Nutrition, LLC is a healthcare organization based in Dorchester, MA. Fuel2live Nutrition, LLC practices in Dorchester, MA. The NPI Number for Fuel2live Nutrition, LLC is 1104560374. The current practice location address for Fuel2live Nutrition, LLC is 48 Sudan St Apt 3, Dorchester, MA 02125-2079 and can be reached out via phone at 617-308-0107.
Provider Profile Details
- NPI Number
- 1104560374
- Provider Name
- Fuel2live Nutrition, LLC
- Provider Entity Type
- Organization
- Address
- 48 Sudan St Apt 3, Dorchester, MA 02125-2079
- Phone Number
- 617-308-0107
- Primary Taxonomy
- Preferred Provider Organization · 305R00000X
- Organization Subpart
- No
- Authorized Official
- Michelle Marie Caslin, RD · Owner/Registered Dietitian · 617-308-0107
- Provider Enumeration Date
- April 25, 2022
- Last Update Date
- April 25, 2022
- Certification Date
- April 25, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 48 Sudan St Apt 3
Dorchester, MA 02125-2079 - City
- Dorchester
- State
- Massachusetts
- Zip
- 02125-2079
- Phone Number
- 617-308-0107
Provider Business Mailing Address Details
- Address
- 48 Sudan St Apt 3
Dorchester, MA 02125-2079 - City
- Dorchester
- State
- MA
- Zip
- 02125-2079
- Phone Number
- 617-308-0107
License Information
- Taxonomy
- Preferred Provider Organization · 305R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Fuel2live Nutrition, LLC?
The NPI number of Fuel2live Nutrition, LLC is 1104560374. It was assigned on April 25, 2022 and is currently active in the NPPES registry.
What is the specialty of Fuel2live Nutrition, LLC?
Fuel2live Nutrition, LLC is registered under the primary taxonomy Preferred Provider Organization (code 305R00000X).
Where does Fuel2live Nutrition, LLC practice?
The practice location is 48 Sudan St Apt 3, Dorchester, MA 02125-2079. The office can be reached at 617-308-0107 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104560374 directly on the NPPES registry website.