Healthcare Provider Details

I. General information

NPI: 1497306500
Provider Name (Legal Business Name): SPRING NUTRITION & WELLNESS COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2019
Last Update Date: 09/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 COLLEGE HEIGHTS BLVD STE 2400
ALLENTOWN PA
18104-4817
US

IV. Provider business mailing address

5265 ROCKROSE LN BLDG E15
ALLENTOWN PA
18104-8248
US

V. Phone/Fax

Practice location:
  • Phone: 610-432-7733
  • Fax:
Mailing address:
  • Phone: 570-972-6558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN JONES
Title or Position: OWNER AND ONLY MEMBER
Credential: LDN
Phone: 570-972-6558