Doctor Name: | JUDITH SOWL |
NPI Number: | 1770996910 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDN, CD |
License Number: | 1814-29 |
Business Practice Address: | 323 S 18th Ave Sturgeon Bay, WI - 542351401 |
Business Phone Number: | 9207435566 |
Business Fax Number: | |
Mailing Address: | 323 S 18th Ave, STURGEON BAY |
State: | WI |
Postal Code: | 542351401 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/05/2014 |
NPI Last Update Date: | 06/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1814-29 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |