Susan Delagrange in Fort Wayne - Dietitian, Registered

Susan Delagrange - NPI 1437118445

Susan Delagrange is a Dietitian, Registered in Fort Wayne, Indiana. Susan Delagrange practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Susan Delagrange is 1437118445. The last update date is 2007-07-08.

Susan Delagrange's current location address is Po Box 2505, Fort Wayne, Indiana. You can contact this provider via phone number 2604322297 and fax number 2604364380. The mailing address for Susan Delagrange is Po Box 2505, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Delagrange
Address Po Box 2505, Fort Wayne, Indiana
Phone Number 2604322297
Fax Number 2604364380
Sole Proprietor X
Credentials RDCD

NPI Number Detail

NPI Number 1437118445
Provider Enumeration Date 2006-03-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 2505
City Fort Wayne
State Indiana (IN)
Post Code 468012505
Phone Number 2604322297
Fax Number 2604364380

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 37001523
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
355286 IN ANTHEM

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FAQs about Susan Delagrange

What is the unique identification code assigned to Susan Delagrange by the Centers for Medicare & Medicaid Services?

The Susan Delagrange has been issued the NPI (National Provider Identifier) 1437118445. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Susan Delagrange's facilities are geographically located?

The facilities of Susan Delagrange are physically situated at the following location: Po Box 2505, Fort Wayne, IN, 468012505.

What is the Susan Delagrange's specialty and taxonomy code?

The Susan Delagrange's specialty is Dietitian, Registered, and the corresponding taxonomy code is 133V00000X.

On what date did Susan Delagrange receive its 1437118445 assignment from the Centers for Medicare & Medicaid Services?

The Susan Delagrange was assigned its 1437118445 on 2006-03-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

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

The information related to Susan Delagrange, 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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