Nutrition Core, Llc is a
Dietitian, Registered based in Catoosa, Oklahoma. Nutrition Core, Llc is licensed to practice in Oklahoma (license number 1312) and their current practice location is
1305 N Highway 66, Suite B, Catoosa, Oklahoma. It can be reached at their office (for appointments etc.) via phone at
(918) 557-0022.
NPI number for Nutrition Core, Llc is 1265741748 and their current mailing address is 15336 E 470 Rd, Claremore, Oklahoma. Nutrition Core, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1265741748.
Healthcare Provider's Profile
Full Name | Nutrition Core, Llc |
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Type | Facility |
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Speciality | Dietitian, Registered |
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Location | 1305 N Highway 66, Catoosa, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265741748
- Provider Enumeration Date: 09/30/2010
- Last Update Date: 09/30/2010
Medical Identifiers
Medical identifiers for Nutrition Core, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265741748 | NPI | - | NPPES |
1285716803 | Other | OK | NPI |
200049320B | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1312 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nutrition Core, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nutrition Core, Llc 15336 E 470 Rd, Claremore, OK 74017-5372 Ph: () - | Nutrition Core, Llc 1305 N Highway 66, Suite B, Catoosa, OK 74015-2460 Ph: (918) 557-0022 |
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