Doctor Name: | MRS. SALLY JANE STEGEMANN |
NPI Number: | 1265629422 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 2005039286 |
Business Practice Address: | 3610 Buttonwood Dr Suite 200 Columbia, MO - 652013721 |
Business Phone Number: | 5734897997 |
Business Fax Number: | |
Mailing Address: | 1508 Killian Ct, COLUMBIA |
State: | MO |
Postal Code: | 652035106 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/01/2007 |
NPI Last Update Date: | 06/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2005039286 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |