Doctor Name: | MICHELLE ALISON BOJRAB |
NPI Number: | 1710301809 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,RDN,CD |
License Number: | 37002169A |
Business Practice Address: | 750 Broadway Suite 350 Fort Wayne, IN - 468021411 |
Business Phone Number: | 2604232675 |
Business Fax Number: | 2603994243 |
Mailing Address: | 750 Broadway, Suite 150 FORT WAYNE |
State: | IN |
Postal Code: | 468021411 |
Phone Number: | 2604232682 |
Fax Number: | 2604224326 |
NPI Enumeration Date: | 02/10/2014 |
NPI Last Update Date: | 02/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 37002169A |
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 |