Organization
NUTRITION REALITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE E KORSBERG MS, RD, LD (OWNER)
(440) 349-3873
Entity
Organization
Contact information
Practice address
3690 ORANGE PL, SUITE 230, BEACHWOOD, OH 44122-4464
(440) 349-3873
(440) 349-5878
Mailing address
32700 S ROUNDHEAD DR, SOLON, OH 44139-4738
(440) 349-2280
(440) 349-5878
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000532607
ANTHEM BC & BS
OH
01
—
1487616801
NPI NUMBER FOR INDIVIDUAL
OH
Enumeration date
07/05/2007
Last updated
03/10/2009
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