Susan A. Quimby in Portland - Dietitian, Registered

Susan A. Quimby - NPI 1982614947

Susan A. Quimby is a Dietitian, Registered in Portland, Maine. Susan A. Quimby practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Susan A. Quimby is 1982614947. The last update date is 2015-05-21.

Susan A. Quimby's current location address is 805 Stevens Ave, Portland, Maine. You can contact this provider via phone number 2077726279 and fax number 2073474281. The mailing address for Susan A. Quimby is 805 Stevens Ave, Portland, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan A. Quimby
Address 805 Stevens Ave, Portland, Maine
Phone Number 2077726279
Fax Number 2073474281
Sole Proprietor Y
Credentials R.D.,L.D.

NPI Number Detail

NPI Number 1982614947
Provider Enumeration Date 2006-08-09
Last Updated Date 2015-05-21

Provider Mailing Address Detail

Address 805 Stevens Ave
City Portland
State Maine (ME)
Post Code 41032626
Phone Number 2077726279
Fax Number 2073474281

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No D121
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
3534992 ME AETNA
11240707 ME CAQH
22185 ME ANTHEM

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FAQs about Susan A. Quimby

What is the unique 10-digit identifier code issued to Susan A. Quimby by the Centers for Medicare & Medicaid Services?

The Susan A. Quimby has been assigned the NPI (National Provider Identifier) 1982614947 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Susan A. Quimby is physically located?

The Susan A. Quimby is physically situated at the following address: 805 Stevens Ave, Portland, ME, 41032626.

What is the Susan A. Quimby's area of specialization and corresponding taxonomy classification?

The Susan A. Quimby's specialty field is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1982614947 to Susan A. Quimby?

The Centers for Medicare & Medicaid Services originally issued the 1982614947 to Susan A. Quimby on 2006-08-09.

As of what date were the details pertaining to Susan A. Quimby last refreshed?

The information related to the Susan A. Quimby, including its address, specialty, and other relevant details, was last updated on 2015-05-21.

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