Bonnie R Martin in Salem - Dietitian, Registered

Bonnie R Martin - NPI 1417085812

Bonnie R Martin is a Dietitian, Registered in Salem, Massachusetts. Bonnie R Martin practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Bonnie R Martin is 1417085812. The last update date is 2007-07-08.

Bonnie R Martin's current location address is 530 Loring Ave, Salem, Massachusetts. You can contact this provider via phone number 9787447890. The mailing address for Bonnie R Martin is 530 Loring Ave, Salem, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Bonnie R Martin
Address 530 Loring Ave, Salem, Massachusetts
Phone Number 9787447890
Fax Number
Sole Proprietor Y
Credentials R.D.

NPI Number Detail

NPI Number 1417085812
Provider Enumeration Date 2007-02-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 530 Loring Ave
City Salem
State Massachusetts (MA)
Post Code 19704256
Phone Number 9787447890
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 123677
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
39470 MD HARVARD PILGRIM
706660 MA TUFTS
LD0127 MA BLUE CROSS BLUE SHIELD

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FAQs about Bonnie R Martin

What is the unique 10-digit identifier code assigned to Bonnie R Martin by the Centers for Medicare & Medicaid Services?

The Bonnie R Martin has been issued the NPI (National Provider Identifier) 1417085812 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Bonnie R Martin is physically located?

The Bonnie R Martin is physically situated at the following address: 530 Loring Ave, Salem, MA, 19704256.

What is the Bonnie R Martin's specialty and taxonomy code?

The Bonnie R Martin's specialty is Dietitian, Registered, and the corresponding taxonomy code is 133V00000X.

When did Bonnie R Martin receive its 1417085812 assignment?

The Bonnie R Martin was assigned its 1417085812 on 2007-02-28, which is the date when this unique identifier was issued to the organization.

When was the Bonnie R Martin's information last updated?

The Bonnie R Martin's information was last updated on 2007-07-08.

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