Polly Clare Chung in Detroit - Dietitian, Registered
Polly Clare Chung - NPI 1326185943
Polly Clare Chung is a Dietitian, Registered in Detroit, Michigan. Polly Clare Chung practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Polly Clare Chung is 1326185943. The last update date is 2007-07-08.
Polly Clare Chung's current location address is 3031 West Grand Boulevard, Detroit, Michigan. You can contact this provider via phone number 3139162127 and fax number 3139168343. The mailing address for Polly Clare Chung is 3031 West Grand Boulevard, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Polly Clare Chung |
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Address | 3031 West Grand Boulevard, Detroit, Michigan |
Phone Number | 3139162127 |
Fax Number | 3139168343 |
Sole Proprietor | Y |
Credentials | RD CDE |
NPI Number Detail
NPI Number | 1326185943 |
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Provider Enumeration Date | 2007-01-31 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3031 West Grand Boulevard |
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City | Detroit |
State | Michigan (MI) |
Post Code | 4820231410 |
Phone Number | 3139162127 |
Fax Number | 3139168343 |
Provider's Primary Taxonomy Detail
Speciality | Dietitian, Registered |
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Taxonomy | 133V00000X |
Licence No | TO BE ISSUED |
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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What is the unique 10-digit identification code assigned to Polly Clare Chung by the Centers for Medicare & Medicaid Services?
The Polly Clare Chung has been issued the NPI (National Provider Identifier) 1326185943, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Polly Clare Chung's physical address?
The Polly Clare Chung is physically located at 3031 West Grand Boulevard, in the city of Detroit, MI, with the postal code 4820231410.
What is Polly Clare Chung's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Polly Clare Chung is Dietitian, Registered, and the corresponding taxonomy classification code for this specialized field is 133V00000X.
On what date did Polly Clare Chung receive its 1326185943 assignment from the Centers for Medicare & Medicaid Services?
The Polly Clare Chung was assigned its 1326185943 on 2007-01-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Polly Clare Chung most recently updated or revised?
The information pertaining to Polly Clare Chung, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.