St Luke'S Humphreys Diabetes Center Inc in Boise - Dietitian, Registered
St Luke'S Humphreys Diabetes Center Inc - NPI 1306984729
St Luke'S Humphreys Diabetes Center Inc is a Dietitian, Registered in Boise, Idaho. St Luke'S Humphreys Diabetes Center Inc practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for St Luke'S Humphreys Diabetes Center Inc is 1306984729. The last update date is 2011-07-28.
St Luke'S Humphreys Diabetes Center Inc's current location address is 1226 W River St, Boise, Idaho. You can contact this provider via phone number 2083311155 and fax number 2083830190. The mailing address for St Luke'S Humphreys Diabetes Center Inc is 1226 W River St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Luke'S Humphreys Diabetes Center Inc |
|---|---|
| Address | 1226 W River St, Boise, Idaho |
| Phone Number | 2083311155 |
| Fax Number | 2083830190 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Scanlon Robert |
| Telephone Number | 2083311155 |
NPI Number Detail
| NPI Number | 1306984729 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2011-07-28 |
Provider Mailing Address Detail
| Address | 1226 W River St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837027049 |
| Phone Number | 2083311155 |
| Fax Number | 2083830190 |
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 |
|---|---|---|---|
| 10170136 | ID | REGENCE WALTERS | |
| 807850000 | ID | -- | |
| 806348400 | ID | -- | |
| 8G502 | ID | BLUE CROSS | |
| 10013347 | ID | BLUE SHIELD |
Post Comment/ Review Below
What is the St Luke'S Humphreys Diabetes Center Inc's 1306984729?
The St Luke'S Humphreys Diabetes Center Inc's NPI (National Provider Identifier) Number is 1306984729. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where St Luke'S Humphreys Diabetes Center Inc's facilities are situated?
The facilities of St Luke'S Humphreys Diabetes Center Inc are physically located at the following address: 1226 W River St, Boise, ID, 837027049.
What is St Luke'S Humphreys Diabetes Center Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The St Luke'S Humphreys Diabetes Center Inc's area of specialization is Dietitian, Registered, and the corresponding taxonomy code that categorizes this field of practice is 133V00000X.
When was the St Luke'S Humphreys Diabetes Center Inc's 1306984729 issued?
The St Luke'S Humphreys Diabetes Center Inc's 1306984729 was issued on 2007-02-01.
When was the St Luke'S Humphreys Diabetes Center Inc's information last updated?
The St Luke'S Humphreys Diabetes Center Inc's information was last updated on 2011-07-28.
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