NPI 1710158845 · live from the CMS NPI Registry
Leah Beth Blinstrub, R.D.
Dietitian, Registered in Warren, MI. National Provider Identifier 1710158845, active.
NPI record
| NPI | 1710158845 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 30061 Schoenherr Rd, Suite C, Warren, MI 48088 |
| Practice phone | 248-475-4728 |
| Mailing address | 4986 N Adams Rd, Rochester, MI 48306 |
| Enumerated | March 17, 2008 |
| Last updated | March 17, 2008 |
| Sole proprietor | No |
| Other names | Leah Ingram |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 947589 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.