Janet Larsen Deloughery in Wagner - Dietitian, Registered

Janet Larsen Deloughery - NPI 1295755197

Janet Larsen Deloughery is a Dietitian, Registered in Wagner, South Dakota. Janet Larsen Deloughery practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Janet Larsen Deloughery is 1295755197. The last update date is 2007-07-09.

Janet Larsen Deloughery's current location address is 111 Washington Ave Nw, Wagner, South Dakota. You can contact this provider via phone number 6053843621 and fax number 6053843293. The mailing address for Janet Larsen Deloughery is 111 Washington Ave Nw, Wagner, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Janet Larsen Deloughery
Address 111 Washington Ave Nw, Wagner, South Dakota
Phone Number 6053843621
Fax Number 6053843293
Sole Proprietor N
Credentials R.D.L.N.

NPI Number Detail

NPI Number 1295755197
Provider Enumeration Date 2006-07-20
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 111 Washington Ave Nw
City Wagner
State South Dakota (SD)
Post Code 57380
Phone Number 6053843621
Fax Number 6053843293

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 263
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
5540100 SD --
5540030 SD --

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FAQs about Janet Larsen Deloughery

What is the unique 10-digit identification code assigned to Janet Larsen Deloughery by the Centers for Medicare & Medicaid Services?

The Janet Larsen Deloughery has been issued the NPI (National Provider Identifier) 1295755197, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Janet Larsen Deloughery's facilities are situated?

The facilities of Janet Larsen Deloughery are physically located at the following address: 111 Washington Ave Nw, Wagner, SD, 57380.

What is Janet Larsen Deloughery'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 Janet Larsen Deloughery is Dietitian, Registered, and the taxonomy classification code that categorizes this area of expertise is 133V00000X.

On what date did the Janet Larsen Deloughery receive its 1295755197 assignment from the Centers for Medicare & Medicaid Services?

The Janet Larsen Deloughery was assigned its 1295755197 by the Centers for Medicare & Medicaid Services on 2006-07-20.

As of what date was the information regarding Janet Larsen Deloughery, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Janet Larsen Deloughery, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.

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