Doctor Name: | MISS ALLISON SHAW |
NPI Number: | 1194141879 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 164006140 |
Business Practice Address: | 901 Macarthur Blvd Munster, IN - 463212901 |
Business Phone Number: | 2198366797 |
Business Fax Number: | 2195131124 |
Mailing Address: | 13025 Taney Pl, CROWN POINT |
State: | IN |
Postal Code: | 463079768 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/05/2014 |
NPI Last Update Date: | 11/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 164006140 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |