NPI 1730368614 · live from the CMS NPI Registry
Ellen Bach, RD
Dietitian, Registered in Jackson, MI. National Provider Identifier 1730368614, active.
NPI record
| NPI | 1730368614 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 205 N East Ave, Jackson, MI 49201 |
| Practice phone | 517-788-4904 |
| Enumerated | October 29, 2007 |
| Last updated | October 29, 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.