NPI 1396869772 · live from the CMS NPI Registry
Julie Elizabeth Bennett, R.D
Dietitian, Registered in Jenison, MI. National Provider Identifier 1396869772, active.
NPI record
| NPI | 1396869772 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1838 Baldwin St, Jenison, MI 49428 |
| Practice phone | 616-667-4088 |
| Mailing address | 6898 40th Ave, Hudsonville, MI 49426 |
| Enumerated | March 19, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.