Jill Elizabeth Riffle, MS, RD, LD

Individual provider Active NPI Registered Dietitian · Dennison, OH

NPI 1104101922 · NPPES record last updated Oct 12, 2011

Key facts

NPI
1104101922
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
LD 6845 (OH)
Practice address
819 N 1St St
Dennison, OH 44621-1003
Phone
(740) 922-2800
Fax
(740) 922-8042
NPI assigned
Oct 12, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LD 6845OHMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD 6845 OH Yes

Addresses

Primary practice location

819 N 1St St
Dennison, OH 44621-1003

Mailing address

819 N 1St St
Dennison, OH 44621-1003
Phone (740) 922-2800

Other providers in Dennison, OH

All providers in Dennison, OH · Registered Dietitian in Ohio

Sources for this page

Verify at the official NPI Registry.