NUTRITIONAL MEDICINE OF IDAHO
NPI 1467621383
Nutritionist - Nutrition, Education in Boise, ID
- Organization
- Nutritionist
- Nutrition, Education
About NUTRITIONAL MEDICINE OF IDAHO
This page provides the complete NPI Profile along with additional information for Nutritional Medicine Of Idaho, a provider established in Boise, Idaho operating as a Nutritionist, focusing in nutrition, education . The healthcare provider is registered in the NPI registry with number 1467621383 assigned on February 2008. The practitioner's primary taxonomy code is 133NN1002X with license number D043 (ID). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Matthew R Macha M.d. (Owner)
- NPI
- 1467621383 Verify this NPI
- Provider Name
- NUTRITIONAL MEDICINE OF IDAHO
- Entity Type
- Organization
- Location Address
- 1520 W STATE ST SUITE 220 BOISE, ID 83702
- Location Phone
- (208) 343-3883
- Location Fax
- (208) 287-2010
- Mailing Address
- 1520 W STATE ST SUITE 220 BOISE, ID 83702
- Mailing Phone
- (208) 343-3883
- Mailing Fax
- (208) 287-2010
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-25-2008
- Last Update Date
- 02-25-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nutritionist Nutrition, Education
- Taxonomy Code
- 133NN1002X
- Type
- Dietary & Nutritional Service Providers
- License No.
- D043
- License State
- ID
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467621383, enumerated as an "organization" on February 25, 2008.
The provider is located at 1520 W STATE ST SUITE 220 BOISE, ID 83702 and the phone number is (208) 343-3883.
Nutritionist with taxonomy code 133NN1002X and a focus in Nutrition, Education.
