Susan Dethman in Wewoka - Dietitian, Registered
Susan Dethman - NPI 1356340442
Susan Dethman is a Dietitian, Registered in Wewoka, Oklahoma. Susan Dethman practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Susan Dethman is 1356340442. The last update date is 2007-07-08.
Susan Dethman's current location address is Po Box 1475, Wewoka, Oklahoma. You can contact this provider via phone number 4052577318 and fax number 4052572696. The mailing address for Susan Dethman is Po Box 1475, Wewoka, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Dethman |
|---|---|
| Address | Po Box 1475, Wewoka, Oklahoma |
| Phone Number | 4052577318 |
| Fax Number | 4052572696 |
| Sole Proprietor | X |
| Credentials | CDR |
NPI Number Detail
| NPI Number | 1356340442 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1475 |
|---|---|
| City | Wewoka |
| State | Oklahoma (OK) |
| Post Code | 748841475 |
| Phone Number | 4052577318 |
| Fax Number | 4052572696 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | T202394 |
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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 10-digit identifier code assigned to Susan Dethman by the Centers for Medicare & Medicaid Services?
The Susan Dethman has been issued the NPI (National Provider Identifier) 1356340442 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Susan Dethman?
The Susan Dethman is situated at Po Box 1475, in the city of Wewoka, state of OK, with the zip code 748841475.
What is Susan Dethman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susan Dethman is Dietitian, Registered, and the taxonomy code that classifies this field of practice is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1356340442 to Susan Dethman?
The Susan Dethman received its 1356340442 assignment from the Centers for Medicare & Medicaid Services on 2005-07-20.
As of what date were the details pertaining to Susan Dethman last refreshed?
The information related to the Susan Dethman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1982607784
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