Doctor Name: | MR. ALEXANDER PAUL EBEL |
NPI Number: | 1790885291 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RD |
License Number: | 854511 |
Business Practice Address: | 1500 E Woodrow Wilson Ave Jackson, MS - 392165116 |
Business Phone Number: | 6013646684 |
Business Fax Number: | 6013684483 |
Mailing Address: | 1500 E Woodrow Wilson Ave, JACKSON |
State: | MS |
Postal Code: | 392165116 |
Phone Number: | 6013646684 |
Fax Number: | 6013684483 |
NPI Enumeration Date: | 09/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 854511 |
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 |