Nutrition Balance LLC
NPI 1275958118ActiveOrganization· Clinic/Center· Saint Clair Shores, MI
Clinic/Center in Saint Clair Shores, Michigan, registered in NPPES in March 2014. The authorized official on file is Susanne E. Consiglio, RD, Registered Dietitian. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275958118 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 1, 2014 |
| Last updated in NPPES | Mar 1, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | 00595403 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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