Elaine Gilliam in Indianapolis - Dietetic Technician, Registered
Elaine Gilliam - NPI 1225050198
Elaine Gilliam is a Dietetic Technician, Registered in Indianapolis, Indiana. Elaine Gilliam practices all healthcare services and medical treatments related to Dietetic Technician, Registered. The NPI Number for Elaine Gilliam is 1225050198. The last update date is 2013-02-22.
Elaine Gilliam's current location address is 5230 E Stop 11 Rd, Indianapolis, Indiana. You can contact this provider via phone number 3178655904 and fax number 3178655321. The mailing address for Elaine Gilliam is 5230 E Stop 11 Rd, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Elaine Gilliam |
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Address | 5230 E Stop 11 Rd, Indianapolis, Indiana |
Phone Number | 3178655904 |
Fax Number | 3178655321 |
Sole Proprietor | N |
Credentials | M.N.T. |
NPI Number Detail
NPI Number | 1225050198 |
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Provider Enumeration Date | 2006-07-23 |
Last Updated Date | 2013-02-22 |
Provider Mailing Address Detail
Address | 5230 E Stop 11 Rd |
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City | Indianapolis |
State | Indiana (IN) |
Post Code | 462376339 |
Phone Number | 3178655904 |
Fax Number | 3178655321 |
Provider's Primary Taxonomy Detail
Speciality | Dietetic Technician, Registered |
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Taxonomy | 136A00000X |
Definition: A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associa |
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What is the unique 10-digit identifier code assigned to Elaine Gilliam by the Centers for Medicare & Medicaid Services?
The Elaine Gilliam has been issued the NPI (National Provider Identifier) 1225050198 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Elaine Gilliam's facilities are situated?
The facilities of Elaine Gilliam are physically located at the following address: 5230 E Stop 11 Rd, Indianapolis, IN, 462376339.
What is Elaine Gilliam's specialized field of practice, and what is the corresponding taxonomy classification code?
The Elaine Gilliam's area of specialization is Dietetic Technician, Registered, and the corresponding taxonomy code that categorizes this field of practice is 136A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1225050198 to Elaine Gilliam?
The Elaine Gilliam received its 1225050198 assignment from the Centers for Medicare & Medicaid Services on 2006-07-23.
When was the information regarding Elaine Gilliam, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Elaine Gilliam, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-02-22.
NPI Number: 1972506228
Address: 2102 Treasure Hills Blvd Ste 3.14406, Harlingen, TX