National Provider Identifier

Blue Circle Dietetics & Nutrition PC

Blue Circle Dietetics & Nutrition PC is listed in the NPPES registry with a primary specialty of Registered Dietitian in East Aurora, NY and a listed phone number of (716) 908-9434.

NPI 1578840450East Aurora, NYRegistered Dietitian

Source: public NPPES record, last updated January 03, 2012. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1578840450
Provider Type
Organization
Primary Specialty
Registered Dietitian
Enumeration Date
November 07, 2011
Last Updated
January 03, 2012

Practice Location

  • 574 Main St
  • Suite 203
  • East Aurora, NY 14052-1751

Phone: (716) 908-9434

Mailing Address

  • PO Box 4876
  • Greenwich, CT 06831-0417

Authorized Official

Name
Mr. Jeffrey C Ensminger
Title
President
Credentials
RD, CDE
Phone
(716) 908-9434

Specialties

  • Registered Dietitian (133V00000X)

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Full Record
NPI
1578840450
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Blue Circle Dietetics & Nutrition PC
Mailing Street Address
PO Box 4876
Mailing City
Greenwich
Mailing State
CT
Mailing ZIP Code
06831-0417
Mailing Country
US
Mailing Phone
(203) 612-3430
Practice Street Address
574 Main St
Practice Address Line 2
Suite 203
Practice City
East Aurora
Practice State
NY
Practice ZIP Code
14052-1751
Practice Country
US
Practice Phone
(716) 908-9434
Enumeration Date
November 07, 2011
Last Updated
January 03, 2012
Authorized Official Last Name
Ensminger
Authorized Official First Name
Jeffrey
Authorized Official Middle Name
C
Authorized Official Title
President
Authorized Official Phone
(716) 908-9434
Organization Subpart
No
Authorized Official Name Prefix Text
Mr.
Authorized Official Credential Text
RD, CDE
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)