Laura Ann Jacob in Champaign - Dietitian, Registered
Laura Ann Jacob - NPI 1144427857
Laura Ann Jacob is a Dietitian, Registered in Champaign, Illinois. Laura Ann Jacob practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Laura Ann Jacob is 1144427857. The last update date is 2020-11-06.
Laura Ann Jacob's current location address is 1801 W Windsor Rd, Champaign, Illinois. You can contact this provider via phone number 2173668144. The mailing address for Laura Ann Jacob is 1801 W Windsor Rd, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Ann Jacob |
|---|---|
| Address | 1801 W Windsor Rd, Champaign, Illinois |
| Phone Number | 2173668144 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | R.D. |
NPI Number Detail
| NPI Number | 1144427857 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2020-11-06 |
Provider Mailing Address Detail
| Address | 1801 W Windsor Rd |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 618226217 |
| Phone Number | 2173668144 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 164.004493 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique 10-digit identifier code issued to Laura Ann Jacob by the Centers for Medicare & Medicaid Services?
The Laura Ann Jacob has been assigned the NPI (National Provider Identifier) 1144427857 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Laura Ann Jacob is geographically located?
The Laura Ann Jacob is physically situated at the following location: 1801 W Windsor Rd, Champaign, IL, 618226217.
What is Laura Ann Jacob's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Laura Ann Jacob is Dietitian, Registered, and the taxonomy code that categorizes this field of expertise is 133V00000X.
On what date did the Laura Ann Jacob receive its 1144427857 assignment from the Centers for Medicare & Medicaid Services?
The Laura Ann Jacob was assigned its 1144427857 by the Centers for Medicare & Medicaid Services on 2007-06-27.
When was the information pertaining to Laura Ann Jacob most recently updated or revised?
The details related to Laura Ann Jacob, including its address, specialty, and other relevant information, were last updated or revised on 2020-11-06.
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