Provider Demographics
NPI:1588945505
Name:NUTRITION SOLUTIONS LLC
Entity type:Organization
Organization Name:NUTRITION SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:ACKERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LDN, CDE
Authorized Official - Phone:617-564-3438
Mailing Address - Street 1:1 CHESTER ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-2016
Mailing Address - Country:US
Mailing Address - Phone:617-564-3438
Mailing Address - Fax:626-605-4237
Practice Address - Street 1:1 CHESTER ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-2016
Practice Address - Country:US
Practice Address - Phone:617-564-3438
Practice Address - Fax:626-605-4237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-03
Last Update Date:2011-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2659133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty