Provider Demographics
NPI:1548085061
Name:THIER NUTRITION CONSULTATION
Entity type:Organization
Organization Name:THIER NUTRITION CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIEITITAN
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:THIER
Authorized Official - Suffix:
Authorized Official - Credentials:MS RD LDN
Authorized Official - Phone:860-681-5946
Mailing Address - Street 1:6301 ARSENAL AVE
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-6780
Mailing Address - Country:US
Mailing Address - Phone:860-681-5946
Mailing Address - Fax:
Practice Address - Street 1:6301 ARSENAL AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-6780
Practice Address - Country:US
Practice Address - Phone:860-681-5946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty