MEDICARE: INCHES-A-WEIGH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133N00000X	Nutritionist

General Provider Information

NPI Number	:	1043524457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INCHES-A-WEIGH, INC.

Provider Business Mailing Address
First Line	:	2010 SYLVIA AVE NE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-2467
Country	:	US
Telephone Number	:	319-395-7111
Fax Number	:	319-395-7239

Provider Business Practice Location Address
First Line	:	2010 SYLVIA AVE NE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-2467
Country	:	US
Telephone Number	:	319-395-7111
Fax Number	:	319-395-7239

Authorized Official
Title or Position	:	CENTER DIRECTOR
Name	:	JENNIFER LINN ELLIOTT
Credential	:
Telephone Number	:	319-395-7111

Provider Enumeration Date	:	07/28/2010
Last Update Date	:	07/28/2010

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