Provider Demographics
NPI:1366890956
Name:NUTRITION PROPORTION
Entity type:Organization
Organization Name:NUTRITION PROPORTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR CONSULTANT
Authorized Official - Prefix:DR
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALDRICH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:651-323-8163
Mailing Address - Street 1:1238 WOODLEY ST E
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55057-2956
Mailing Address - Country:US
Mailing Address - Phone:651-323-8163
Mailing Address - Fax:
Practice Address - Street 1:1238 WOODLEY ST E
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55057-2956
Practice Address - Country:US
Practice Address - Phone:651-323-8163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNN211133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Single Specialty