Doctor Name: | CASEY LYNN YOUNG |
NPI Number: | 1093188351 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 0000000 |
Business Practice Address: | 610 S Lincoln Rd Escanaba, MI - 498291215 |
Business Phone Number: | 9067866488 |
Business Fax Number: | 9067866409 |
Mailing Address: | Po Box 22487, GREEN BAY |
State: | WI |
Postal Code: | 543052487 |
Phone Number: | 9204457222 |
Fax Number: | 9204457289 |
NPI Enumeration Date: | 11/09/2015 |
NPI Last Update Date: | 11/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 0000000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |