Doctor Name: | MRS. SARA NAMKEN |
NPI Number: | 1922418730 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 164.004964 |
Business Practice Address: | 2122 N 27th St Decatur, IL - 625262191 |
Business Phone Number: | 2178765292 |
Business Fax Number: | 2178765375 |
Mailing Address: | 2300 N Edward St, Gsbll DECATUR |
State: | IL |
Postal Code: | 625264163 |
Phone Number: | 2178762857 |
Fax Number: | 2178762874 |
NPI Enumeration Date: | 05/01/2014 |
NPI Last Update Date: | 09/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 164.004964 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |