Organization Name: | ST JOHN HOSPITAL CORPORATION |
NPI Number: | 1720111701 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA ELLEN WHITMAN (DIRECTOR) |
Mailing Address: | 22101 Moross Rd Detroit |
State: | MI US |
Postal Code: | 482362148 |
Phone Number: | 5862284635 |
Fax Number: | 5862284520 |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 10/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |