Rosannah M. Mack in Elkhart - Dietitian, Registered
Rosannah M. Mack - NPI 1508924259
Rosannah M. Mack is a Dietitian, Registered in Elkhart, Indiana. Rosannah M. Mack practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Rosannah M. Mack is 1508924259. The last update date is 2009-04-09.
Rosannah M. Mack's current location address is 600 East Blvd, Elkhart, Indiana. You can contact this provider via phone number 5745233236 and fax number 5742966504. The mailing address for Rosannah M. Mack is 600 East Blvd, Elkhart, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rosannah M. Mack |
|---|---|
| Address | 600 East Blvd, Elkhart, Indiana |
| Phone Number | 5745233236 |
| Fax Number | 5742966504 |
| Sole Proprietor | N |
| Credentials | RD,CD |
NPI Number Detail
| NPI Number | 1508924259 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2009-04-09 |
Provider Mailing Address Detail
| Address | 600 East Blvd |
|---|---|
| City | Elkhart |
| State | Indiana (IN) |
| Post Code | 465142483 |
| Phone Number | 5745233236 |
| Fax Number | 5742966504 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 915393 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 915393 | IN | LICENSE | |
| 37001470A | IN | STATE CERTIFICATION NUMBE |
Post Comment/ Review Below
What is the unique identification code assigned to Rosannah M. Mack by the Centers for Medicare & Medicaid Services?
The Rosannah M. Mack has been issued the NPI (National Provider Identifier) 1508924259. 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 Rosannah M. Mack's facilities are geographically located?
The facilities of Rosannah M. Mack are physically situated at the following location: 600 East Blvd, Elkhart, IN, 465142483.
What is the area of specialization for Rosannah M. Mack, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Rosannah M. Mack is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of expertise is 133V00000X.
On what date did Rosannah M. Mack receive its 1508924259 assignment from the Centers for Medicare & Medicaid Services?
The Rosannah M. Mack was assigned its 1508924259 on 2006-12-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Rosannah M. Mack most recently updated or refreshed?
The details pertaining to the Rosannah M. Mack, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-04-09.