Jeremy R. Bennett in Racine - Dietitian, Registered
Jeremy R. Bennett - NPI 1073791349
Jeremy R. Bennett is a Dietitian, Registered in Racine, Wisconsin. Jeremy R. Bennett practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Jeremy R. Bennett is 1073791349. The last update date is 2008-02-08.
Jeremy R. Bennett's current location address is 1320 Wisconsin Ave, Racine, Wisconsin. You can contact this provider via phone number 2626872781. The mailing address for Jeremy R. Bennett is 1320 Wisconsin Ave, Racine, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy R. Bennett |
|---|---|
| Address | 1320 Wisconsin Ave, Racine, Wisconsin |
| Phone Number | 2626872781 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1073791349 |
|---|---|
| Provider Enumeration Date | 2008-02-08 |
| Last Updated Date | 2008-02-08 |
Provider Mailing Address Detail
| Address | 1320 Wisconsin Ave |
|---|---|
| City | Racine |
| State | Wisconsin (WI) |
| Post Code | 534031978 |
| Phone Number | 2626872781 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 1989-029 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 961328 | RD NUMBER |
Post Comment/ Review Below
What is the Jeremy R. Bennett's 1073791349?
The Jeremy R. Bennett's NPI (National Provider Identifier) Number is 1073791349. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jeremy R. Bennett is physically located?
The Jeremy R. Bennett is physically situated at the following address: 1320 Wisconsin Ave, Racine, WI, 534031978.
What is Jeremy R. Bennett'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 Jeremy R. Bennett is Dietitian, Registered, and the taxonomy classification code that categorizes this area of expertise is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073791349 to Jeremy R. Bennett?
The Centers for Medicare & Medicaid Services assigned the 1073791349 to Jeremy R. Bennett on 2008-02-08.
When was the information regarding Jeremy R. Bennett most recently updated?
The details pertaining to the Jeremy R. Bennett, including its address, specialty, and other relevant information, were last refreshed on 2008-02-08.
NPI Number: 1215930573
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