Charissa Sue Shadduck in Mason - Dietitian, Registered
Charissa Sue Shadduck - NPI 1629264973
Charissa Sue Shadduck is a Dietitian, Registered in Mason, Michigan. Charissa Sue Shadduck practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Charissa Sue Shadduck is 1629264973. The last update date is 2014-12-04.
Charissa Sue Shadduck's current location address is 3181 Sandhill Rd, Mason, Michigan. You can contact this provider via phone number 5173366060 and fax number 5173366050. The mailing address for Charissa Sue Shadduck is 3181 Sandhill Rd, Mason, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charissa Sue Shadduck |
|---|---|
| Address | 3181 Sandhill Rd, Mason, Michigan |
| Phone Number | 5173366060 |
| Fax Number | 5173366050 |
| Sole Proprietor | N |
| Credentials | MS RD |
NPI Number Detail
| NPI Number | 1629264973 |
|---|---|
| Provider Enumeration Date | 2007-09-20 |
| Last Updated Date | 2014-12-04 |
Provider Mailing Address Detail
| Address | 3181 Sandhill Rd |
|---|---|
| City | Mason |
| State | Michigan (MI) |
| Post Code | 48854 |
| Phone Number | 5173366060 |
| Fax Number | 5173366050 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
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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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What is the unique provider identifier assigned to Charissa Sue Shadduck?
The Charissa Sue Shadduck has been issued the NPI (National Provider Identifier) 1629264973 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Charissa Sue Shadduck located?
The Charissa Sue Shadduck is located at 3181 Sandhill Rd, Mason, MI 48854.
What is Charissa Sue Shadduck's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Charissa Sue Shadduck is Dietitian, Registered, and the corresponding taxonomy classification code for this specialized field is 133V00000X.
On what date was the 1629264973 assigned to Charissa Sue Shadduck?
The Charissa Sue Shadduck was issued its 1629264973 on 2007-09-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Charissa Sue Shadduck last refreshed?
The information related to the Charissa Sue Shadduck, including its address, specialty, and other relevant details, was last updated on 2014-12-04.
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