Provider Demographics
NPI:1992112833
Name:A&L BROWN NUTRITION SERVICES
Entity type:Organization
Organization Name:A&L BROWN NUTRITION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:M
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LDN, BS
Authorized Official - Phone:610-256-9592
Mailing Address - Street 1:808 FOXMEADOW DR
Mailing Address - Street 2:
Mailing Address - City:ROYERSFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-1536
Mailing Address - Country:US
Mailing Address - Phone:610-256-9592
Mailing Address - Fax:
Practice Address - Street 1:808 FOXMEADOW DR
Practice Address - Street 2:
Practice Address - City:ROYERSFORD
Practice Address - State:PA
Practice Address - Zip Code:19468-1536
Practice Address - Country:US
Practice Address - Phone:610-256-9592
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-11
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN005092133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty