Michael J Wootson I, RD, LDN
Dietitian, Registered in Willingboro, New Jersey
1336872746- Practice location
- 43 Middleton Ln, Willingboro, NJ 08046-3127
- Phone
- 609-379-0196
- Fax
- —
- Last updated
- July 4, 2022
Michael Joshua Wootson is a Dietitian, Registered based in Willingboro, NJ. Michael Joshua Wootson practices in Willingboro, NJ and has the professional credentials of RD, LDN. The NPI Number for Michael Joshua Wootson is 1336872746 and holds a License No. DN007628 (PA). The current practice location address for Michael Joshua Wootson is 43 Middleton Ln, Willingboro, NJ 08046-3127 and can be reached out via phone at 609-379-0196.
Provider Profile Details
- NPI Number
- 1336872746
- Provider Name
- Michael Joshua Wootson
- Credential
- RD, LDN
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 43 Middleton Ln, Willingboro, NJ 08046-3127
- Phone Number
- 609-379-0196
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 4, 2022
- Last Update Date
- July 4, 2022
- Certification Date
- July 4, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 43 Middleton Ln
Willingboro, NJ 08046-3127 - City
- Willingboro
- State
- New Jersey
- Zip
- 08046-3127
- Phone Number
- 609-379-0196
Provider Business Mailing Address Details
- Address
- 43 Middleton Ln
Willingboro, NJ 08046-3127 - City
- Willingboro
- State
- NJ
- Zip
- 08046-3127
- Phone Number
- 609-379-0196
License Information
- Taxonomy (1)
- Dietitian, Registered, Nutrition, Pediatric · 133VN1004X
- Taxonomy (2)
- Dietitian, Registered, Nutrition, Gerontological · 133VN1101X
- Taxonomy (3)
- Dietitian, Registered, Nutrition, Sports Dietetics · 133VN1501X
- License Number (4)
- DN007628
- License State (4)
- PA
- Taxonomy (4)
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Michael J Wootson I, RD, LDN?
The NPI number of Michael J Wootson I, RD, LDN is 1336872746. It was assigned on July 4, 2022 and is currently active in the NPPES registry.
What is the specialty of Michael J Wootson I, RD, LDN?
Michael J Wootson I, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in PA under license number DN007628.
Where does Michael J Wootson I, RD, LDN practice?
The practice location is 43 Middleton Ln, Willingboro, NJ 08046-3127. The office can be reached at 609-379-0196 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336872746 directly on the NPPES registry website.