Doctor Name: | JASON EDWARDS |
NPI Number: | 1467586222 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICENSED DIETITIAN |
License Number: | 2006001960 |
Business Practice Address: | Hwy 72 North Salem, MO - 655600774 |
Business Phone Number: | 5737296626 |
Business Fax Number: | 5737296502 |
Mailing Address: | Po Box 774, Hwy 72 North SALEM |
State: | MO |
Postal Code: | 655600774 |
Phone Number: | 5737296626 |
Fax Number: | 5737296502 |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2006001960 |
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 |