Doctor Name: | JANICE M PAUTLER |
NPI Number: | 1073732772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD,LD |
License Number: | |
Business Practice Address: | 2100 Madison Ave Granite City, IL - 620404701 |
Business Phone Number: | 6187985082 |
Business Fax Number: | 6187983871 |
Mailing Address: | 126 N 82nd St, BELLEVILLE |
State: | IL |
Postal Code: | 622232121 |
Phone Number: | 6183985082 |
Fax Number: | 6187983871 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |