Provider Demographics
NPI:1275360877
Name:IN GOD WE TRUST FITNESS
Entity type:Organization
Organization Name:IN GOD WE TRUST FITNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASTER TRAINER
Authorized Official - Prefix:
Authorized Official - First Name:DORSEAY
Authorized Official - Middle Name:
Authorized Official - Last Name:BINDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-921-8184
Mailing Address - Street 1:4821 RITTERMAN AVE # A
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70805-6963
Mailing Address - Country:US
Mailing Address - Phone:225-921-8184
Mailing Address - Fax:
Practice Address - Street 1:7767 TOM DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-2321
Practice Address - Country:US
Practice Address - Phone:225-495-7054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service