Bordeaux Nutrition LLC
Dietitian, Registered in Newington, Connecticut
1720453814- Practice location
- 66 Cedar St, 305, Newington, CT 06111-2633
- Phone
- 860-523-0141
- Fax
- 860-523-0141
- Last updated
- December 4, 2015
Bordeaux Nutrition LLC is a healthcare organization based in Newington, CT. Bordeaux Nutrition LLC practices in Newington, CT. The NPI Number for Bordeaux Nutrition LLC is 1720453814 and holds a License No. 000472 (CT). The current practice location address for Bordeaux Nutrition LLC is 66 Cedar St, 305, Newington, CT 06111-2633 and can be reached out via phone at 860-523-0141 and via fax at 860-523-0141.
Provider Profile Details
- NPI Number
- 1720453814
- Provider Name
- Bordeaux Nutrition LLC
- Provider Entity Type
- Organization
- Address
- 66 Cedar St, 305, Newington, CT 06111-2633
- Phone Number
- 860-523-0141
- Fax Number
- 860-523-0141
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Renee J Bordeaux, RD, CDN, CPT · Owner · 860-978-9449
- Provider Enumeration Date
- December 1, 2015
- Last Update Date
- December 4, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 66 Cedar St
305
Newington, CT 06111-2633 - City
- Newington
- State
- Connecticut
- Zip
- 06111-2633
- Phone Number
- 860-523-0141
- Fax Number
- 860-523-0141
Provider Business Mailing Address Details
- Address
- 66 Cedar St
Suite 305
Newington, CT 06111-2633 - City
- Newington
- State
- CT
- Zip
- 06111-2633
- Phone Number
- 860-523-0141
- Fax Number
- 860-523-0141
License Information
- License Number
- 000472
- License State
- CT
- 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 Bordeaux Nutrition LLC?
The NPI number of Bordeaux Nutrition LLC is 1720453814. It was assigned on December 1, 2015 and is currently active in the NPPES registry.
What is the specialty of Bordeaux Nutrition LLC?
Bordeaux Nutrition LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 000472.
Where does Bordeaux Nutrition LLC practice?
The practice location is 66 Cedar St, 305, Newington, CT 06111-2633. The office can be reached at 860-523-0141 (phone) or 860-523-0141 (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 1720453814 directly on the NPPES registry website.