Jacqueline Carlson in Erie - Nutrition, Metabolic
Jacqueline Carlson - NPI 1942291935
Jacqueline Carlson is a Nutrition, Metabolic in Erie, Pennsylvania. Jacqueline Carlson practices all healthcare services and medical treatments related to Nutrition, Metabolic. The NPI Number for Jacqueline Carlson is 1942291935. The last update date is 2022-08-15.
Jacqueline Carlson's current location address is 145 W 23rd St Ste 202, Erie, Pennsylvania. You can contact this provider via phone number 8148352626 and fax number 8148352646. The mailing address for Jacqueline Carlson is 145 W 23rd St Ste 202, Erie, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Carlson |
|---|---|
| Address | 145 W 23rd St Ste 202, Erie, Pennsylvania |
| Phone Number | 8148352626 |
| Fax Number | 8148352646 |
| Sole Proprietor | N |
| Credentials | RD CDE |
NPI Number Detail
| NPI Number | 1942291935 |
|---|---|
| Provider Enumeration Date | 2005-10-31 |
| Last Updated Date | 2022-08-15 |
Provider Mailing Address Detail
| Address | 145 W 23rd St Ste 202 |
|---|---|
| City | Erie |
| State | Pennsylvania (PA) |
| Post Code | 165022858 |
| Phone Number | 8148352626 |
| Fax Number | 8148352646 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Metabolic |
|---|---|
| Taxonomy | 133Vn1006X |
| Licence No | 806 |
|
Definition: A dietitian who specializes in metabolic and nutritional disorders. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5261701 | NY | BLUE CROSS | |
| 51101000071 | NY | FIDELIS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jacqueline Carlson by the Centers for Medicare & Medicaid Services?
The Jacqueline Carlson has been assigned the NPI (National Provider Identifier) 1942291935 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Jacqueline Carlson located?
The Jacqueline Carlson is located at 145 W 23Rd St Ste 202, Erie, PA 165022858.
What is Jacqueline Carlson'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 Jacqueline Carlson is Nutrition, Metabolic, and the taxonomy classification code that categorizes this area of expertise is 133Vn1006X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942291935 to Jacqueline Carlson?
The Centers for Medicare & Medicaid Services originally issued the 1942291935 to Jacqueline Carlson on 2005-10-31.
When was the information regarding Jacqueline Carlson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jacqueline Carlson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-08-15.