Provider Demographics
NPI:1386409217
Name:CASE SPECIFIC NUTRITION LLC
Entity type:Organization
Organization Name:CASE SPECIFIC NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, LDN
Authorized Official - Phone:412-593-2048
Mailing Address - Street 1:5750 BAUM BLVD # 306
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3793
Mailing Address - Country:US
Mailing Address - Phone:125-932-0484
Mailing Address - Fax:844-311-7396
Practice Address - Street 1:5750 BAUM BLVD # 306
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3793
Practice Address - Country:US
Practice Address - Phone:125-932-0484
Practice Address - Fax:844-311-7396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty