Doctor Name: | MR. JOSEPH ROBERT CHAMPA |
NPI Number: | 1790032829 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LRD |
License Number: | 864 |
Business Practice Address: | 2358 4th St W Dickinson, ND - 586012433 |
Business Phone Number: | 7012604053 |
Business Fax Number: | |
Mailing Address: | 2358 4th St W, DICKINSON |
State: | ND |
Postal Code: | 586012433 |
Phone Number: | 7012604053 |
Fax Number: | |
NPI Enumeration Date: | 08/08/2012 |
NPI Last Update Date: | 08/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 864 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
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 |