Susan Mary Brown in Champaign - Dietitian, Registered
Susan Mary Brown - NPI 1720095961
Susan Mary Brown is a Dietitian, Registered in Champaign, Illinois. Susan Mary Brown practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Susan Mary Brown is 1720095961. The last update date is 2014-12-26.
Susan Mary Brown's current location address is 1813 W Kirby Ave, Champaign, Illinois. You can contact this provider via phone number 2173843490 and fax number 2173833439. The mailing address for Susan Mary Brown is 1813 W Kirby Ave, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Mary Brown |
|---|---|
| Address | 1813 W Kirby Ave, Champaign, Illinois |
| Phone Number | 2173843490 |
| Fax Number | 2173833439 |
| Sole Proprietor | N |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1720095961 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2014-12-26 |
Provider Mailing Address Detail
| Address | 1813 W Kirby Ave |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 618215410 |
| Phone Number | 2173843490 |
| Fax Number | 2173833439 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 164003513 |
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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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Post Comment/ Review Below
What is the Susan Mary Brown's 1720095961?
The Susan Mary Brown's NPI (National Provider Identifier) Number is 1720095961. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Susan Mary Brown's facilities are situated?
The facilities of Susan Mary Brown are physically located at the following address: 1813 W Kirby Ave, Champaign, IL, 618215410.
What is the Susan Mary Brown's area of specialization and corresponding taxonomy classification?
The Susan Mary Brown's specialty field is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1720095961 to Susan Mary Brown?
The Centers for Medicare & Medicaid Services assigned the 1720095961 to Susan Mary Brown on 2006-08-01.
As of what date was the information regarding Susan Mary Brown, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan Mary Brown, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-12-26.
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