Susan Broeckelman in Mankato - Dietitian, Registered
Susan Broeckelman - NPI 1518148071
Susan Broeckelman is a Dietitian, Registered in Mankato, Kansas. Susan Broeckelman practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Susan Broeckelman is 1518148071. The last update date is 2007-11-26.
Susan Broeckelman's current location address is 100 Crestvue Ave, Mankato, Kansas. You can contact this provider via phone number 7853783137. The mailing address for Susan Broeckelman is 100 Crestvue Ave, Mankato, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Broeckelman |
|---|---|
| Address | 100 Crestvue Ave, Mankato, Kansas |
| Phone Number | 7853783137 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1518148071 |
|---|---|
| Provider Enumeration Date | 2007-11-26 |
| Last Updated Date | 2007-11-26 |
Provider Mailing Address Detail
| Address | 100 Crestvue Ave |
|---|---|
| City | Mankato |
| State | Kansas (KS) |
| Post Code | 669562407 |
| Phone Number | 7853783137 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 829 |
|
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 |
|---|---|---|---|
| 708146 | CDR ID NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Susan Broeckelman by the Centers for Medicare & Medicaid Services?
The Susan Broeckelman has been issued the NPI (National Provider Identifier) 1518148071. 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 Broeckelman's facilities are geographically located?
The facilities of Susan Broeckelman are physically situated at the following location: 100 Crestvue Ave, Mankato, KS, 669562407.
What is Susan Broeckelman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Susan Broeckelman is Dietitian, Registered, and the taxonomy classification code that categorizes this area of expertise is 133V00000X.
On what date did the Susan Broeckelman receive the assignment of its 1518148071 from the Centers for Medicare & Medicaid Services?
The Susan Broeckelman was issued its 1518148071 by the Centers for Medicare & Medicaid Services on 2007-11-26.
As of what date were the Susan Broeckelman's details last updated?
The information pertaining to the Susan Broeckelman, including its address, specialty, and other details, was most recently updated on 2007-11-26.