Christopher John Baird, RD
Individual provider Active NPI Registered Dietitian · Dubuque, IA
NPI 1073085387 · NPPES record last updated Dec 27, 2018
Key facts
- NPI
- 1073085387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86132170 (WI)
- Practice address
- 3500 Dodge St
Dubuque, IA 52003-5261 - Phone
- (563) 583-5204
- NPI assigned
- Dec 27, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86132170 | WI | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86132170 | WI | Yes |
Addresses
Primary practice location
3500 Dodge St
Dubuque, IA 52003-5261
Mailing address
3500 Dodge St
Dubuque, IA 52003-5261
Phone (563) 583-5204
Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.