Blue Tree Nutrition

LBN: Blue Tree Nutrition
Blue Tree Nutrition is an health care organization with primary practice located at 75 E Pine St , Zionsville IN 46077-1529. The organization recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as the primary health care specialty. Blue Tree Nutrition can be contacted via phone (410) 963-4782, or through Polley, Valerie Lynn via phone (410) 963-4782.

Contact Information

Primary practice address
75 E Pine St Zionsville IN 46077-1529
Phone: (410) 963-4782
Fax: (317) 671-7633
Website:
Map and Directions
Authorized official contact:
Name: Polley, Valerie Lynn Registered Dietitian (RD)
Phone: (410) 963-4782

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1811518103
LBN Legal business name Blue Tree Nutrition
DBA Doing business as
Authorized official Polley, Valerie Lynn Registered Dietitian (RD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2020
Last updated Apr 28th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811518103 NPPES
Indiana Other 1619321973 TYPE 1

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