Doctor Name: | MS. ELAINE A. HAGEN |
NPI Number: | 1790843407 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, CD |
License Number: | 727380 |
Business Practice Address: | 600 East Blvd Nutrition Services Department Elkhart, IN - 465142483 |
Business Phone Number: | 5745233236 |
Business Fax Number: | 5742966504 |
Mailing Address: | Po Box 660376, Egh Insurance Payments INDIANAPOLIS |
State: | IN |
Postal Code: | 462660376 |
Phone Number: | 5745233148 |
Fax Number: | 5745233492 |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 10/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 727380 |
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 |