Ellen Kathleen Sours in Canton - Nutrition, Renal
Ellen Kathleen Sours - NPI 1548296072
Ellen Kathleen Sours is a Nutrition, Renal in Canton, Ohio. Ellen Kathleen Sours practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Ellen Kathleen Sours is 1548296072. The last update date is 2007-07-08.
Ellen Kathleen Sours's current location address is 4689 Fulton Dr Nw, Canton, Ohio. You can contact this provider via phone number 3306499400 and fax number 3306498059. The mailing address for Ellen Kathleen Sours is 4689 Fulton Dr Nw, Canton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Kathleen Sours |
|---|---|
| Address | 4689 Fulton Dr Nw, Canton, Ohio |
| Phone Number | 3306499400 |
| Fax Number | 3306498059 |
| Sole Proprietor | X |
| Credentials | R.D.,L.D. |
NPI Number Detail
| NPI Number | 1548296072 |
|---|---|
| Provider Enumeration Date | 2006-06-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4689 Fulton Dr Nw |
|---|---|
| City | Canton |
| State | Ohio (OH) |
| Post Code | 447182379 |
| Phone Number | 3306499400 |
| Fax Number | 3306498059 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Renal |
|---|---|
| Taxonomy | 133Vn1005X |
| Licence No | 1569 |
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Definition: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl |
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Post Comment/ Review Below
What is the unique identifier code issued to Ellen Kathleen Sours by the Centers for Medicare & Medicaid Services (CMS)?
The Ellen Kathleen Sours has been assigned the NPI (National Provider Identifier) 1548296072. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Ellen Kathleen Sours's physical address?
The Ellen Kathleen Sours is physically located at 4689 Fulton Dr Nw, in the city of Canton, OH, with the postal code 447182379.
What is the area of specialization for Ellen Kathleen Sours, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ellen Kathleen Sours is Nutrition, Renal, and the corresponding taxonomy code that categorizes this area of expertise is 133Vn1005X.
On what date was the 1548296072 assigned to Ellen Kathleen Sours?
The Ellen Kathleen Sours was issued its 1548296072 on 2006-06-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Ellen Kathleen Sours, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ellen Kathleen Sours, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.