Julie A De Roush in Rockford - Dietitian, Registered

Julie A De Roush - NPI 1740212638

Julie A De Roush is a Dietitian, Registered in Rockford, Illinois. Julie A De Roush practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Julie A De Roush is 1740212638. The last update date is 2007-07-08.

Julie A De Roush's current location address is 5666 East State St, Rockford, Illinois. You can contact this provider via phone number 8152262000 and fax number 8153817526. The mailing address for Julie A De Roush is 5666 East State St, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Julie A De Roush
Address 5666 East State St, Rockford, Illinois
Phone Number 8152262000
Fax Number 8153817526
Sole Proprietor N
Credentials R.D.

NPI Number Detail

NPI Number 1740212638
Provider Enumeration Date 2006-07-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5666 East State St
City Rockford
State Illinois (IL)
Post Code 611082472
Phone Number 8152262000
Fax Number 8153817526

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

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FAQs about Julie A De Roush

What is the unique identifier code issued to Julie A De Roush by the Centers for Medicare & Medicaid Services?

The Julie A De Roush has been assigned the NPI (National Provider Identifier) 1740212638. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Julie A De Roush's physical address?

The Julie A De Roush is physically located at 5666 East State St, in the city of Rockford, IL, with the postal code 611082472.

What is Julie A De Roush's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Julie A De Roush's specialized field of practice is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of specialization is 133V00000X.

On what date did the Julie A De Roush receive the assignment of its 1740212638 from the Centers for Medicare & Medicaid Services?

The Julie A De Roush was issued its 1740212638 by the Centers for Medicare & Medicaid Services on 2006-07-07.

As of what date were the details pertaining to Julie A De Roush last refreshed?

The information related to the Julie A De Roush, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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