Healthcare Provider Details

I. General information

NPI: 1598592263
Provider Name (Legal Business Name): 2005937 AB INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2024
Last Update Date: 09/17/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14-7003 30TH ST SE
CALGARY AB
T2C1N6
CA

IV. Provider business mailing address

432-4525 31 ST. SW
CALGARY AB
T3E2P8
CA

V. Phone/Fax

Practice location:
  • Phone: 587-355-7812
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name: MRS. JANNA HATTINGH
Title or Position: OWNER/CEO.
Credential:
Phone: 587-355-7812