Chad Hetherwick in Prescott - Nutrition, Pediatric
Chad Hetherwick - NPI 1104023969
Chad Hetherwick is a Nutrition, Pediatric in Prescott, Arizona. Chad Hetherwick practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Chad Hetherwick is 1104023969. The last update date is 2020-11-03.
Chad Hetherwick's current location address is Po Box 10214, Prescott, Arizona. You can contact this provider via phone number 9287728652 and fax number 9287728078. The mailing address for Chad Hetherwick is Po Box 10214, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chad Hetherwick |
|---|---|
| Address | Po Box 10214, Prescott, Arizona |
| Phone Number | 9287728652 |
| Fax Number | 9287728078 |
| Sole Proprietor | N |
| Credentials | MS, RDN |
NPI Number Detail
| NPI Number | 1104023969 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2020-11-03 |
Provider Mailing Address Detail
| Address | Po Box 10214 |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 863040214 |
| Phone Number | 9287728652 |
| Fax Number | 9287728078 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Pediatric |
|---|---|
| Taxonomy | 133Vn1004X |
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Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Chad Hetherwick by the Centers for Medicare & Medicaid Services?
The Chad Hetherwick has been issued the NPI (National Provider Identifier) 1104023969, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Chad Hetherwick is geographically located?
The Chad Hetherwick is physically situated at the following location: Po Box 10214, Prescott, AZ, 863040214.
What is Chad Hetherwick'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 Chad Hetherwick is Nutrition, Pediatric, and the taxonomy classification code that categorizes this area of expertise is 133Vn1004X.
When did Chad Hetherwick receive its 1104023969 assignment?
The Chad Hetherwick was assigned its 1104023969 on 2007-06-27, which is the date when this unique identifier was issued to the organization.
When was the information regarding Chad Hetherwick most recently updated?
The details pertaining to the Chad Hetherwick, including its address, specialty, and other relevant information, were last refreshed on 2020-11-03.