Suzanne Carol Ickes in Bethlehem - Dietitian, Registered
Suzanne Carol Ickes - NPI 1124236385
Suzanne Carol Ickes is a Dietitian, Registered in Bethlehem, Pennsylvania. Suzanne Carol Ickes practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Suzanne Carol Ickes is 1124236385. The last update date is 2016-09-28.
Suzanne Carol Ickes's current location address is 45 Warwick St, Bethlehem, Pennsylvania. You can contact this provider via phone number 4847881255. The mailing address for Suzanne Carol Ickes is 45 Warwick St, Bethlehem, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suzanne Carol Ickes |
|---|---|
| Address | 45 Warwick St, Bethlehem, Pennsylvania |
| Phone Number | 4847881255 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | R.D., LDN |
NPI Number Detail
| NPI Number | 1124236385 |
|---|---|
| Provider Enumeration Date | 2007-05-20 |
| Last Updated Date | 2016-09-28 |
Provider Mailing Address Detail
| Address | 45 Warwick St |
|---|---|
| City | Bethlehem |
| State | Pennsylvania (PA) |
| Post Code | 180182431 |
| Phone Number | 4847881255 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | DN001762 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2630546000 | PA | INDEPENDENCE BLUE CROSS | |
| 2630546000 | PA | KEYSTONE HEALTH EAST | |
| 1793520 | PA | HIGHMARK BLUE SHIELD FOR FEDER | |
| 2624640 | PA | AETNA US HEALTHCARE | |
| 2630546000 | PA | PERSONALCHOICE/BLUECHOICE | |
| 55154 | PA | MEDICARE PROVIDER NUMBER | |
| 1793520000 | PA | AMERIHEALTH |
Post Comment/ Review Below
What is the Suzanne Carol Ickes's unique identification number?
The Suzanne Carol Ickes has been assigned the NPI (National Provider Identifier) Number 1124236385 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Suzanne Carol Ickes?
The Suzanne Carol Ickes is situated at 45 Warwick St, in the city of Bethlehem, state of PA, with the zip code 180182431.
What is Suzanne Carol Ickes's specialized field of practice, and what is the corresponding taxonomy classification code?
The Suzanne Carol Ickes's area of specialization is Dietitian, Registered, and the corresponding taxonomy code that categorizes this field of practice is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124236385 to Suzanne Carol Ickes?
The Centers for Medicare & Medicaid Services originally issued the 1124236385 to Suzanne Carol Ickes on 2007-05-20.
As of what date were the details related to Suzanne Carol Ickes most recently updated or revised?
The information pertaining to Suzanne Carol Ickes, including its address, specialty, and other relevant details, was last updated or revised on 2016-09-28.
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