Active NPIOrganization

Cornerstone Nutrition, LLC

Dietitian, Registered in Manchester, Connecticut

NPI Number1679984488
Practice location
595 Main St, Manchester, CT 06040-5160
Fax
—
Last updated
September 2, 2014

Cornerstone Nutrition, LLC is a healthcare organization based in Manchester, CT. Cornerstone Nutrition, LLC practices in Manchester, CT. The NPI Number for Cornerstone Nutrition, LLC is 1679984488 and holds a License No. 03-696456 (CT). The current practice location address for Cornerstone Nutrition, LLC is 595 Main St, Manchester, CT 06040-5160 and can be reached out via phone at 860-559-5178.

Provider Profile Details

NPI Number
1679984488
Provider Name
Cornerstone Nutrition, LLC
Provider Entity Type
Organization
Address
595 Main St, Manchester, CT 06040-5160
Phone Number
860-559-5178
Primary Taxonomy
Dietitian, Registered · 133V00000X
Organization Subpart
No
Authorized Official
Brendan Coburn, RD · Owner, Registered Dietitian · 860-559-5178
Provider Enumeration Date
May 14, 2014
Last Update Date
September 2, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
595 Main St
Manchester, CT 06040-5160
Zip
06040-5160
Phone Number
860-559-5178
Manchester, CT 06040Get directions →

Provider Business Mailing Address Details

Address
568 Foster St
South Windsor, CT 06074-2935
City
South Windsor
State
CT
Zip
06074-2935
Phone Number
860-559-5178

License Information

License Number
03-696456
License State
CT
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Cornerstone Nutrition, LLC?

The NPI number of Cornerstone Nutrition, LLC is 1679984488. It was assigned on May 14, 2014 and is currently active in the NPPES registry.

What is the specialty of Cornerstone Nutrition, LLC?

Cornerstone Nutrition, LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 03-696456.

Where does Cornerstone Nutrition, LLC practice?

The practice location is 595 Main St, Manchester, CT 06040-5160. The office can be reached at 860-559-5178 (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 1679984488 directly on the NPPES registry website.

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