Organization Name: | SAGE NUTRITION, LLC |
NPI Number: | 1982992087 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THERESA SAGE (PRESIDENT) |
Mailing Address: | 150 N Radnor Chester Rd Ste F-200 Radnor |
State: | PA US |
Postal Code: | 190875252 |
Phone Number: | 6109772076 |
Fax Number: | 6109770043 |
NPI Enumeration Date: | 07/11/2011 |
NPI Last Update Date: | 08/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DN002004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |