Ssm Health Care Of Wisconsin Inc in Baraboo - Dietitian, Registered
Ssm Health Care Of Wisconsin Inc - NPI 1467435214
Ssm Health Care Of Wisconsin Inc is a Dietitian, Registered in Baraboo, Wisconsin. Ssm Health Care Of Wisconsin Inc practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Ssm Health Care Of Wisconsin Inc is 1467435214. The last update date is 2016-10-19.
Ssm Health Care Of Wisconsin Inc's current location address is 707 14th St, Baraboo, Wisconsin. You can contact this provider via phone number 6083561400. The mailing address for Ssm Health Care Of Wisconsin Inc is 707 14th St, Baraboo, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ssm Health Care Of Wisconsin Inc |
|---|---|
| Address | 707 14th St, Baraboo, Wisconsin |
| Phone Number | 6083561400 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Walker Troy |
| Telephone Number | 6083561400 |
NPI Number Detail
| NPI Number | 1467435214 |
|---|---|
| Provider Enumeration Date | 2005-11-25 |
| Last Updated Date | 2016-10-19 |
Provider Mailing Address Detail
| Address | 707 14th St |
|---|---|
| City | Baraboo |
| State | Wisconsin (WI) |
| Post Code | 539131539 |
| Phone Number | 6083561400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
|
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 |
|---|---|---|---|
| 391023846 | WI | COMMERICAL INS PROV # | |
| 1009390 | WI | PHYS PLUS PROV # | |
| 11022800 | WI | -- | |
| 391023846028 | WI | BLUE CROSS PROV # |
Post Comment/ Review Below
What is the Ssm Health Care Of Wisconsin Inc's 1467435214?
The Ssm Health Care Of Wisconsin Inc's NPI (National Provider Identifier) Number is 1467435214. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Ssm Health Care Of Wisconsin Inc is physically located?
The Ssm Health Care Of Wisconsin Inc is physically situated at the following address: 707 14Th St, Baraboo, WI, 539131539.
What is Ssm Health Care Of Wisconsin Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ssm Health Care Of Wisconsin Inc'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 assign the 1467435214 to Ssm Health Care Of Wisconsin Inc?
The Centers for Medicare & Medicaid Services assigned the 1467435214 to Ssm Health Care Of Wisconsin Inc on 2005-11-25.
When was the information pertaining to Ssm Health Care Of Wisconsin Inc most recently updated or revised?
The details related to Ssm Health Care Of Wisconsin Inc, including its address, specialty, and other relevant information, were last updated or revised on 2016-10-19.
NPI Number: 1376546309
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