Susette M Gjovik in Rapid City - Dietitian, Registered

Susette M Gjovik - NPI 1700078565

Susette M Gjovik is a Dietitian, Registered in Rapid City, South Dakota. Susette M Gjovik practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Susette M Gjovik is 1700078565. The last update date is 2007-08-15.

Susette M Gjovik's current location address is Po Box 3450, Rapid City, South Dakota. You can contact this provider via phone number 6057191000 and fax number 6057197680. The mailing address for Susette M Gjovik is Po Box 3450, Rapid City, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Susette M Gjovik
Address Po Box 3450, Rapid City, South Dakota
Phone Number 6057191000
Fax Number 6057197680
Sole Proprietor N
Credentials MNT

NPI Number Detail

NPI Number 1700078565
Provider Enumeration Date 2007-08-15
Last Updated Date 2007-08-15

Provider Mailing Address Detail

Address Po Box 3450
City Rapid City
State South Dakota (SD)
Post Code 577093450
Phone Number 6057191000
Fax Number 6057197680

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 336
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
336 SD LICENSE

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FAQs about Susette M Gjovik

What is the unique 10-digit identification code issued to Susette M Gjovik by the Centers for Medicare & Medicaid Services?

The Susette M Gjovik has been assigned the NPI (National Provider Identifier) 1700078565 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Susette M Gjovik is located?

The Susette M Gjovik is situated at the following address: Po Box 3450, Rapid City, SD, 577093450.

What is Susette M Gjovik's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Susette M Gjovik is Dietitian, Registered, and the taxonomy classification code that categorizes this area of expertise is 133V00000X.

When was the Susette M Gjovik's 1700078565 issued?

The Susette M Gjovik's 1700078565 was issued on 2007-08-15.

As of what date were the details related to Susette M Gjovik most recently updated or revised?

The information pertaining to Susette M Gjovik, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-15.

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