NPI 1861039760 · live from the CMS NPI Registry
Paige Belanger
Dietitian, Registered in Saint Joseph, MI. National Provider Identifier 1861039760, active.
NPI record
| NPI | 1861039760 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1030 Miners Rd, Saint Joseph, MI 49085 |
| Practice phone | 269-408-1688 |
| Mailing address | 9030 5th St, Baroda, MI 49101 |
| Enumerated | December 10, 2019 |
| Last updated | December 10, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 86095581 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.