Doctor Name: | MS. JESSIE M GEBERT |
NPI Number: | 1679612121 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 37000353A |
Business Practice Address: | 8701 Broadway Merrillville, IN - 464107035 |
Business Phone Number: | 2197385888 |
Business Fax Number: | 2197386620 |
Mailing Address: | 11504 W 134th Ct, Apt C CEDAR LAKE |
State: | IN |
Postal Code: | 463032107 |
Phone Number: | 2193744955 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 37000353A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |