Scott Allen Black in Lackland Afb - Dietitian, Registered
Scott Allen Black - NPI 1720284706
Scott Allen Black is a Dietitian, Registered in Lackland Afb, Texas. Scott Allen Black practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Scott Allen Black is 1720284706. The last update date is 2007-07-08.
Scott Allen Black's current location address is 2200 Bergquist Drive, Suite 1, Attn Credentials Cmc, Lackland Afb, Texas. You can contact this provider via phone number 2102927964. The mailing address for Scott Allen Black is 2200 Bergquist Drive, Suite 1, Attn Credentials Cmc, Lackland Afb, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Allen Black |
|---|---|
| Address | 2200 Bergquist Drive, Suite 1, Attn Credentials Cmc, Lackland Afb, Texas |
| Phone Number | 2102927964 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1720284706 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2200 Bergquist Drive, Suite 1, Attn Credentials Cmc |
|---|---|
| City | Lackland Afb |
| State | Texas (TX) |
| Post Code | 782365300 |
| Phone Number | 2102927964 |
| Fax Number |
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 10-digit identifier code issued to Scott Allen Black by the Centers for Medicare & Medicaid Services?
The Scott Allen Black has been assigned the NPI (National Provider Identifier) 1720284706 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Scott Allen Black?
The Scott Allen Black is physically situated at 2200 Bergquist Drive, Suite 1, Attn Credentials Cmc, in the city of Lackland Afb, state of TX, with the postal code 782365300.
What is Scott Allen Black's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Scott Allen Black is Dietitian, Registered, and the corresponding taxonomy classification code for this specialized field is 133V00000X.
When was the Scott Allen Black's 1720284706 issued?
The Scott Allen Black's 1720284706 was issued on 2007-06-26.
When was the information regarding Scott Allen Black most recently updated?
The details pertaining to the Scott Allen Black, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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