Sustained Nutrition Llc is a
Dietitian, Registered based in Wenham, Massachusetts. Sustained Nutrition Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
225 Main St, Wenham, Massachusetts. It can be reached at their office (for appointments etc.) via phone at
(617) 417-4870.
NPI number for Sustained Nutrition Llc is 1063159481 and their current mailing address is 46 Broadway Avenue Ext, Ipswich, Massachusetts. Sustained Nutrition Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1063159481.
Healthcare Provider's Profile
Full Name | Sustained Nutrition Llc |
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Type | Facility |
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Speciality | Dietitian, Registered |
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Location | 225 Main St, Wenham, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063159481
- Provider Enumeration Date: 05/17/2022
- Last Update Date: 08/05/2024
Medical Identifiers
Medical identifiers for Sustained Nutrition Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063159481 | NPI | - | NPPES |
86105998 | Other | MA | CDR |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | 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. Sustained Nutrition 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 |
Sustained Nutrition Llc 46 Broadway Avenue Ext, Ipswich, MA 01938-2001 Ph: (617) 417-4870 | Sustained Nutrition Llc 225 Main St, Wenham, MA 01984-1459 Ph: (617) 417-4870 |
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