Marcia K Radloff in Watertown - Nutritionist

Marcia K Radloff - NPI 1396904454

Marcia K Radloff is a Nutritionist in Watertown, Wisconsin. Marcia K Radloff practices all healthcare services and medical treatments related to Nutritionist. The NPI Number for Marcia K Radloff is 1396904454. The last update date is 2009-05-29.

Marcia K Radloff's current location address is 621 E Main St, Watertown, Wisconsin. You can contact this provider via phone number 9202616999 and fax number 9202616966. The mailing address for Marcia K Radloff is 621 E Main St, Watertown, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Marcia K Radloff
Address 621 E Main St, Watertown, Wisconsin
Phone Number 9202616999
Fax Number 9202616966
Sole Proprietor Y
Credentials L.AC, MSOM

NPI Number Detail

NPI Number 1396904454
Provider Enumeration Date 2008-06-04
Last Updated Date 2009-05-29

Provider Mailing Address Detail

Address 621 E Main St
City Watertown
State Wisconsin (WI)
Post Code 530943874
Phone Number 9202616999
Fax Number 9202616966

Provider's Primary Taxonomy Detail

Speciality Nutritionist
Taxonomy 133N00000X
Licence No 528-055
Definition:
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
528055 WI STATE LICENSE NUMBER

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FAQs about Marcia K Radloff

What is the unique 10-digit identification code issued to Marcia K Radloff by the Centers for Medicare & Medicaid Services?

The Marcia K Radloff has been assigned the NPI (National Provider Identifier) 1396904454 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Marcia K Radloff is geographically located?

The Marcia K Radloff is physically situated at the following location: 621 E Main St, Watertown, WI, 530943874.

What is Marcia K Radloff's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Marcia K Radloff is Nutritionist, and the taxonomy code that categorizes this field of expertise is 133N00000X.

On what date did Marcia K Radloff receive its 1396904454 assignment from the Centers for Medicare & Medicaid Services?

The Marcia K Radloff was assigned its 1396904454 on 2008-06-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Marcia K Radloff's information last updated?

The Marcia K Radloff's information was last updated on 2009-05-29.

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