Jill M Seewagen, RD LDN

Individual provider Active NPI Nutrition Education Nutritionist · Balto, MD

NPI 1073615134 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1073615134
Entity type
Individual (NPI type 1)
Primary specialty
Nutrition Education Nutritionist 133NN1002X
License
DX2466 (MD)
Practice address
6535 N Charles Street
Suite 300
Balto, MD 21204
Phone
(410) 938-5252
Fax
(410) 938-5250
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X DX2466 MD Yes

Addresses

Primary practice location

6535 N Charles Street
Suite 300
Balto, MD 21204

Mailing address

6535 N Charles Street
Suite 300
Balto, MD 21204
Phone (410) 938-5252

Other providers in Balto, MD

All providers in Balto, MD · Nutrition Education Nutritionist in Maryland

Sources for this page

Verify at the official NPI Registry.