Provider Demographics
NPI:1598592263
Name:2005937 AB INC.
Entity type:Organization
Organization Name:2005937 AB INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO.
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HATTINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:587-355-7812
Mailing Address - Street 1:432-4525 31 ST. SW
Mailing Address - Street 2:
Mailing Address - City:CALGARY
Mailing Address - State:AB
Mailing Address - Zip Code:T3E2P8
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14-7003 30TH ST SE
Practice Address - Street 2:
Practice Address - City:CALGARY
Practice Address - State:AB
Practice Address - Zip Code:T2C1N6
Practice Address - Country:CA
Practice Address - Phone:587-355-7812
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?CodeTypeClassificationSpecializationGroup
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Single Specialty