Doctor Name: | JOAN L KORTBEIN |
NPI Number: | 1245236538 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 900 |
Business Practice Address: | 1330 N Superior Ave Tomah, WI - 546601130 |
Business Phone Number: | 6083724111 |
Business Fax Number: | |
Mailing Address: | 1836 South Ave, LA CROSSE |
State: | WI |
Postal Code: | 546015429 |
Phone Number: | 6087827300 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2005 |
NPI Last Update Date: | 04/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |