<Unavail>

LBN: Bright Sky Nutrition, Llc
<Unavail> is an health care organization with primary practice located at 3543 S Lone Pine Ave , Springfield MO 65804-4854. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Bright Sky Nutrition, Llc can be contacted via phone (417) 343-8222, or through Webb, Ladonna Marie via phone (417) 343-8222.

Contact Information

Primary practice address
3543 S Lone Pine Ave Springfield MO 65804-4854
Phone: (417) 343-8222
Fax: (866) 542-3416
Website:
Map and Directions
Authorized official contact:
Name: Webb, Ladonna Marie RD, LD, CDE
Phone: (417) 343-8222

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 2004029834 Missouri

Profile Details

NPI number 1124477104
LBN Legal business name Bright Sky Nutrition, Llc
DBA Doing business as <Unavail>
Authorized official Webb, Ladonna Marie RD, LD, CDE
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2016
Last updated Jul 6th, 2016 - about 10 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 1124477104 NPPES
Missouri MEDICAID 1073807384

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