Clinical Weight Loss & Wellness LLC
Dietitian, Registered in Glastonbury, Connecticut
1265990030- Practice location
- 2790 Main St, Glastonbury, CT 06033-2027
- Phone
- 860-430-9922
- Fax
- 860-633-9922
- Last updated
- October 2, 2020
Clinical Weight Loss & Wellness LLC is a healthcare organization based in Glastonbury, CT. Clinical Weight Loss & Wellness LLC practices in Glastonbury, CT. The NPI Number for Clinical Weight Loss & Wellness LLC is 1265990030. The current practice location address for Clinical Weight Loss & Wellness LLC is 2790 Main St, Glastonbury, CT 06033-2027 and can be reached out via phone at 860-430-9922 and via fax at 860-633-9922.
Provider Profile Details
- NPI Number
- 1265990030
- Provider Name
- Clinical Weight Loss & Wellness LLC
- Provider Entity Type
- Organization
- Address
- 2790 Main St, Glastonbury, CT 06033-2027
- Phone Number
- 860-430-9922
- Fax Number
- 860-633-9922
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Organization Subpart
- No
- Authorized Official
- Ms. Jeannie Marie Leitao, RD, CDE, CDN · Owner/Ceo · 860-430-9922
- Provider Enumeration Date
- March 11, 2019
- Last Update Date
- October 2, 2020
- Certification Date
- October 2, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2790 Main St
Glastonbury, CT 06033-2027 - City
- Glastonbury
- State
- Connecticut
- Zip
- 06033-2027
- Phone Number
- 860-430-9922
- Fax Number
- 860-633-9922
Provider Business Mailing Address Details
- Address
- 2790 Main St
Glastonbury, CT 06033-2027 - City
- Glastonbury
- State
- CT
- Zip
- 06033-2027
- Phone Number
- 860-430-9922
License Information
- Taxonomy
- Dietitian, Registered · 133V00000X · 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 Clinical Weight Loss & Wellness LLC?
The NPI number of Clinical Weight Loss & Wellness LLC is 1265990030. It was assigned on March 11, 2019 and is currently active in the NPPES registry.
What is the specialty of Clinical Weight Loss & Wellness LLC?
Clinical Weight Loss & Wellness LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).
Where does Clinical Weight Loss & Wellness LLC practice?
The practice location is 2790 Main St, Glastonbury, CT 06033-2027. The office can be reached at 860-430-9922 (phone) or 860-633-9922 (fax).
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 1265990030 directly on the NPPES registry website.