One Source Nutrition, LLC
Clinic/Center, Health Services in Norwalk, Connecticut
1871504142- Practice location
- 301 Merritt 7, Wellness Center, Norwalk, CT 06851-1070
- Phone
- 203-604-0202
- Fax
- 203-604-0204
- Last updated
- August 22, 2020
One Source Nutrition, LLC is a healthcare organization based in Norwalk, CT. One Source Nutrition, LLC practices in Norwalk, CT. The NPI Number for One Source Nutrition, LLC is 1871504142 and holds a License No. 000764 (CT). The current practice location address for One Source Nutrition, LLC is 301 Merritt 7, Wellness Center, Norwalk, CT 06851-1070 and can be reached out via phone at 203-604-0202 and via fax at 203-604-0204.
Provider Profile Details
- NPI Number
- 1871504142
- Provider Name
- One Source Nutrition, LLC
- Provider Entity Type
- Organization
- Address
- 301 Merritt 7, Wellness Center, Norwalk, CT 06851-1070
- Phone Number
- 203-604-0202
- Fax Number
- 203-604-0204
- Primary Taxonomy
- Clinic/Center, Health Services · 261QH0100X
- Organization Subpart
- No
- Authorized Official
- Mr. Donald Milton Stokes, MPH, RD, CDN · Owner · 917-697-7614
- Provider Enumeration Date
- August 11, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 301 Merritt 7
Wellness Center
Norwalk, CT 06851-1070 - City
- Norwalk
- State
- Connecticut
- Zip
- 06851-1070
- Phone Number
- 203-604-0202
- Fax Number
- 203-604-0204
Provider Business Mailing Address Details
- Address
- 668 Glenbrook RD Apt 33
Stamford, CT 06906-1434 - City
- Stamford
- State
- CT
- Zip
- 06906-1434
- Phone Number
- 917-697-7614
License Information
- License Number
- 000764
- License State
- CT
- Taxonomy
- Clinic/Center, Health Services · 261QH0100X · 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 One Source Nutrition, LLC?
The NPI number of One Source Nutrition, LLC is 1871504142. It was assigned on August 11, 2006 and is currently active in the NPPES registry.
What is the specialty of One Source Nutrition, LLC?
One Source Nutrition, LLC is registered under the primary taxonomy Clinic/Center, Health Services (code 261QH0100X), licensed in CT under license number 000764.
Where does One Source Nutrition, LLC practice?
The practice location is 301 Merritt 7, Wellness Center, Norwalk, CT 06851-1070. The office can be reached at 203-604-0202 (phone) or 203-604-0204 (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 1871504142 directly on the NPPES registry website.