Anne G Jacque in Springfield - Dietitian, Registered

Anne G Jacque - NPI 1013938471

Anne G Jacque is a Dietitian, Registered in Springfield, Massachusetts. Anne G Jacque practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Anne G Jacque is 1013938471. The last update date is 2011-05-13.

Anne G Jacque's current location address is 354 Birnie Ave, Springfield, Massachusetts. You can contact this provider via phone number 4137333470 and fax number 4137334298. The mailing address for Anne G Jacque is 354 Birnie Ave, Springfield, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Anne G Jacque
Address 354 Birnie Ave, Springfield, Massachusetts
Phone Number 4137333470
Fax Number 4137334298
Sole Proprietor N
Credentials R.D.

NPI Number Detail

NPI Number 1013938471
Provider Enumeration Date 2006-07-21
Last Updated Date 2011-05-13

Provider Mailing Address Detail

Address 354 Birnie Ave
City Springfield
State Massachusetts (MA)
Post Code 11071108
Phone Number 4137333470
Fax Number 4137334298

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 125
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
LD0146 MA BLUE CROSS

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FAQs about Anne G Jacque

What is the unique identification code assigned to Anne G Jacque by the Centers for Medicare & Medicaid Services?

The Anne G Jacque has been issued the NPI (National Provider Identifier) 1013938471. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Anne G Jacque's facilities are geographically located?

The facilities of Anne G Jacque are physically situated at the following location: 354 Birnie Ave, Springfield, MA, 11071108.

On what date did Anne G Jacque receive its 1013938471 assignment from the Centers for Medicare & Medicaid Services?

The Anne G Jacque was assigned its 1013938471 on 2006-07-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

On what date did the Centers for Medicare & Medicaid Services assign the 1013938471 to Anne G Jacque?

The Centers for Medicare & Medicaid Services assigned the 1013938471 to Anne G Jacque on 2006-07-21.

When was the information related to Anne G Jacque most recently updated or refreshed?

The details pertaining to the Anne G Jacque, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-05-13.

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