Unknown Individual – Registered Dietitian, NPI 1922084656
Registered Dietitian
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
North Michigan Street, South Bend, Saint Joseph County, Indiana, 46617, United States
STE. 200
SOUTH BEND, IN 466011244
Phone: (574) 647-1845
Fax: (574) 647-1825
Type: Mailing
Beacon Medical Group, 900, I Street, La Porte, LaPorte County, Indiana, 46350, United States
LAPORTE, IN 463505533
Phone: (219) 324-1700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46601)
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