Provider Demographics
NPI:1194124669
Name:FIT ESSENTIALS INC
Entity type:Organization
Organization Name:FIT ESSENTIALS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:ELLIOTT
Authorized Official - Last Name:BAXTER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:267-235-8789
Mailing Address - Street 1:926 HADDONFIELD RD STE E
Mailing Address - Street 2:186
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-2775
Mailing Address - Country:US
Mailing Address - Phone:267-235-8789
Mailing Address - Fax:
Practice Address - Street 1:926 HADDONFIELD RD STE E
Practice Address - Street 2:186
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-2775
Practice Address - Country:US
Practice Address - Phone:267-235-8789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-20
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty