Joetta M Redlin in Decorah - Dietitian, Registered

Joetta M Redlin - NPI 1104014307

Joetta M Redlin is a Dietitian, Registered in Decorah, Iowa. Joetta M Redlin practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Joetta M Redlin is 1104014307. The last update date is 2007-10-12.

Joetta M Redlin's current location address is 901 Montgomery St, Decorah, Iowa. You can contact this provider via phone number 5633822911. The mailing address for Joetta M Redlin is 901 Montgomery St, Decorah, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Joetta M Redlin
Address 901 Montgomery St, Decorah, Iowa
Phone Number 5633822911
Fax Number
Sole Proprietor N
Credentials REGISTERED

NPI Number Detail

NPI Number 1104014307
Provider Enumeration Date 2007-10-12
Last Updated Date 2007-10-12

Provider Mailing Address Detail

Address 901 Montgomery St
City Decorah
State Iowa (IA)
Post Code 521012325
Phone Number 5633822911
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 775
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
775 IA LICENSE NUMBER

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FAQs about Joetta M Redlin

What is the unique provider identifier assigned to Joetta M Redlin?

The Joetta M Redlin has been issued the NPI (National Provider Identifier) 1104014307 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Joetta M Redlin located?

The Joetta M Redlin is located at 901 Montgomery St, Decorah, IA 521012325.

What is the area of specialization for Joetta M Redlin, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Joetta M Redlin is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of expertise is 133V00000X.

On what date did Joetta M Redlin receive its 1104014307 assignment from the Centers for Medicare & Medicaid Services?

The Joetta M Redlin was assigned its 1104014307 on 2007-10-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Joetta M Redlin last refreshed?

The information related to the Joetta M Redlin, including its address, specialty, and other relevant details, was last updated on 2007-10-12.

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