Provider Demographics
NPI:1992989198
Name:DIABETES CARE & EDUCATION, INC
Entity type:Organization
Organization Name:DIABETES CARE & EDUCATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-903-5245
Mailing Address - Street 1:10101 LINN STATION RD
Mailing Address - Street 2:SUITE 560
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-3848
Mailing Address - Country:US
Mailing Address - Phone:502-412-3253
Mailing Address - Fax:502-412-3202
Practice Address - Street 1:3722 BRIDGES ST
Practice Address - Street 2:SUITE 2C
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2944
Practice Address - Country:US
Practice Address - Phone:252-247-3300
Practice Address - Fax:252-247-3390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty