Stacey J. Crutchley in Peoria - Dietitian, Registered
Stacey J. Crutchley - NPI 1609894302
Stacey J. Crutchley is a Dietitian, Registered in Peoria, Illinois. Stacey J. Crutchley practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Stacey J. Crutchley is 1609894302. The last update date is 2007-07-08.
Stacey J. Crutchley's current location address is 530 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096554066 and fax number 3096554022. The mailing address for Stacey J. Crutchley is 530 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey J. Crutchley |
|---|---|
| Address | 530 Ne Glen Oak Ave, Peoria, Illinois |
| Phone Number | 3096554066 |
| Fax Number | 3096554022 |
| Sole Proprietor | N |
| Credentials | R.D. |
NPI Number Detail
| NPI Number | 1609894302 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 530 Ne Glen Oak Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616370001 |
| Phone Number | 3096554066 |
| Fax Number | 3096554022 |
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 |
|
Post Comment/ Review Below
What is the unique identification code assigned to Stacey J. Crutchley by the Centers for Medicare & Medicaid Services?
The Stacey J. Crutchley has been issued the NPI (National Provider Identifier) 1609894302. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Stacey J. Crutchley?
The Stacey J. Crutchley is situated at 530 Ne Glen Oak Ave, in the city of Peoria, state of IL, with the zip code 616370001.
What is Stacey J. Crutchley's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stacey J. Crutchley is Dietitian, Registered, and the corresponding taxonomy classification code for this specialized field is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1609894302 to Stacey J. Crutchley?
The Centers for Medicare & Medicaid Services assigned the 1609894302 to Stacey J. Crutchley on 2006-07-18.
When was the information pertaining to Stacey J. Crutchley most recently updated or revised?
The details related to Stacey J. Crutchley, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
Address: 10 Huron Ave, Mashpee, MA
Address: 5913 Waterford Ln, Mckinney, TX
Address: 9 Branch St, Methuen, MA
Address: 605 W Lincoln St, Lindsborg, KS
Address: 808 N 3rd St, Goshen, IN
Address: 360 Route 101, Bedford, NH
Address: 360 Route 101, Bedford, NH
Address: 129 Nimrod Dr, Concord, MA
Address: Po Box 749, Kernville, CA
Address: 1463 Sw 20th Ct, Gresham, OR
Address: 1365 Washington Ave, Albany, NY
Address: 2929 Calder St, Beaumont, TX
Address: 204 N 4th Ave E, Newton, IA
Address: 1739 Sundance Dr, Reston, VA
Address: 204 N 4th Ave E, Newton, IA