Mary G Boll in Sheboygan - Dietitian, Registered

Mary G Boll - NPI 1144303322

Mary G Boll is a Dietitian, Registered in Sheboygan, Wisconsin. Mary G Boll practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Mary G Boll is 1144303322. The last update date is 2007-07-08.

Mary G Boll's current location address is 2414 Kohler Memorial Dr, Sheboygan, Wisconsin. You can contact this provider via phone number 9204574461. The mailing address for Mary G Boll is 2414 Kohler Memorial Dr, Sheboygan, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary G Boll
Address 2414 Kohler Memorial Dr, Sheboygan, Wisconsin
Phone Number 9204574461
Fax Number
Sole Proprietor N
Credentials RD

NPI Number Detail

NPI Number 1144303322
Provider Enumeration Date 2006-10-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2414 Kohler Memorial Dr
City Sheboygan
State Wisconsin (WI)
Post Code 530813129
Phone Number 9204574461
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 471
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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FAQs about Mary G Boll

What is the unique 10-digit identifier code assigned to Mary G Boll by the Centers for Medicare & Medicaid Services?

The Mary G Boll has been issued the NPI (National Provider Identifier) 1144303322 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 Mary G Boll?

The Mary G Boll is situated at 2414 Kohler Memorial Dr, in the city of Sheboygan, state of WI, with the zip code 530813129.

What is the Mary G Boll's specialty and taxonomy code?

The Mary G Boll's specialty is Dietitian, Registered, and the corresponding taxonomy code is 133V00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1144303322 to Mary G Boll?

The Mary G Boll received its 1144303322 assignment from the Centers for Medicare & Medicaid Services on 2006-10-23.

As of what date was the information pertaining to Mary G Boll, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mary G Boll, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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