Mary Jo Mcclintic in Bloomington - Dietitian, Registered

Mary Jo Mcclintic - NPI 1346453958

Mary Jo Mcclintic is a Dietitian, Registered in Bloomington, Indiana. Mary Jo Mcclintic practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Mary Jo Mcclintic is 1346453958. The last update date is 2007-07-08.

Mary Jo Mcclintic's current location address is 601 W 2nd St, Bloomington, Indiana. You can contact this provider via phone number 8123539568 and fax number 8123539318. The mailing address for Mary Jo Mcclintic is 601 W 2nd St, Bloomington, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Jo Mcclintic
Address 601 W 2nd St, Bloomington, Indiana
Phone Number 8123539568
Fax Number 8123539318
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1346453958
Provider Enumeration Date 2007-05-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 601 W 2nd St
City Bloomington
State Indiana (IN)
Post Code 474032317
Phone Number 8123539568
Fax Number 8123539318

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 37000725A
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
37000725A IN STATE LICENSE

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FAQs about Mary Jo Mcclintic

What is the unique identifier code issued to Mary Jo Mcclintic by the Centers for Medicare & Medicaid Services (CMS)?

The Mary Jo Mcclintic has been assigned the NPI (National Provider Identifier) 1346453958. 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 Mary Jo Mcclintic's facilities are situated?

The facilities of Mary Jo Mcclintic are physically located at the following address: 601 W 2Nd St, Bloomington, IN, 474032317.

What is Mary Jo Mcclintic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mary Jo Mcclintic's specialized field of practice is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of specialization is 133V00000X.

On what date did the Mary Jo Mcclintic receive its 1346453958 assignment from the Centers for Medicare & Medicaid Services?

The Mary Jo Mcclintic was assigned its 1346453958 by the Centers for Medicare & Medicaid Services on 2007-05-08.

As of what date was the information regarding Mary Jo Mcclintic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mary Jo Mcclintic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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