Doctor Name: | MRS. JANICE ILEEN GENGENBACH |
NPI Number: | 1497947527 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 325 |
Business Practice Address: | 300 E 12th St Cozad, NE - 691301505 |
Business Phone Number: | 3087842261 |
Business Fax Number: | |
Mailing Address: | 43540 Road 739, SMITHFIELD |
State: | NE |
Postal Code: | 689761065 |
Phone Number: | 3084725092 |
Fax Number: | 3084725090 |
NPI Enumeration Date: | 08/13/2007 |
NPI Last Update Date: | 08/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 325 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
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 |