Maryellen Koch Jensen in Williamsville - Nutrition
Maryellen Koch Jensen - NPI 1619191574
Maryellen Koch Jensen is a Nutrition in Williamsville, Missouri. Maryellen Koch Jensen practices all healthcare services and medical treatments related to Nutrition. The NPI Number for Maryellen Koch Jensen is 1619191574. The last update date is 2023-10-18.
Maryellen Koch Jensen's current location address is 430 Wayne 375, Williamsville, Missouri. You can contact this provider via phone number 6603411105. The mailing address for Maryellen Koch Jensen is 430 Wayne 375, Williamsville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maryellen Koch Jensen |
|---|---|
| Address | 430 Wayne 375, Williamsville, Missouri |
| Phone Number | 6603411105 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DC, MSED, |
NPI Number Detail
| NPI Number | 1619191574 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2023-10-18 |
Provider Mailing Address Detail
| Address | 430 Wayne 375 |
|---|---|
| City | Williamsville |
| State | Missouri (MO) |
| Post Code | 639678938 |
| Phone Number | 6603411105 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition |
|---|---|
| Taxonomy | 111Nn1001X |
| Licence No | 2000148952 |
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Definition: Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic |
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Post Comment/ Review Below
What is the unique identifier code issued to Maryellen Koch Jensen by the Centers for Medicare & Medicaid Services (CMS)?
The Maryellen Koch Jensen has been assigned the NPI (National Provider Identifier) 1619191574. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Maryellen Koch Jensen's facilities are situated?
The facilities of Maryellen Koch Jensen are physically located at the following address: 430 Wayne 375, Williamsville, MO, 639678938.
What is Maryellen Koch Jensen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Maryellen Koch Jensen's area of specialization is Nutrition, and the corresponding taxonomy code that categorizes this field of practice is 111Nn1001X.
On what date was the 1619191574 assigned to Maryellen Koch Jensen?
The Maryellen Koch Jensen was issued its 1619191574 on 2007-04-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Maryellen Koch Jensen most recently updated?
The details pertaining to the Maryellen Koch Jensen, including its address, specialty, and other relevant information, were last refreshed on 2023-10-18.