Provider Demographics
NPI:1245932763
Name:CHLOE LOREN NUTRITION
Entity type:Organization
Organization Name:CHLOE LOREN NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHLOE
Authorized Official - Middle Name:
Authorized Official - Last Name:BECHDOLT
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LD
Authorized Official - Phone:419-296-3668
Mailing Address - Street 1:1350 N WAPAK RD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45807-9457
Mailing Address - Country:US
Mailing Address - Phone:419-296-3668
Mailing Address - Fax:
Practice Address - Street 1:1350 N WAPAK RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45807-9457
Practice Address - Country:US
Practice Address - Phone:419-296-3668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty