Organization Name: | ASCEND CHC, LCC |
NPI Number: | 1619302494 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNY CONVISER (OWNER, CEO) |
Mailing Address: | 700 S Gregory St Suite A Urbana |
State: | IL US |
Postal Code: | 618013745 |
Phone Number: | 2175314796 |
Fax Number: | 2176075432 |
NPI Enumeration Date: | 09/11/2013 |
NPI Last Update Date: | 09/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 164004906 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |