Active NPIIndividual providerSole proprietor

Jacob Magnan, RD

Dietitian, Registered in Colchester, Vermont

NPI Number1366813685
Practice location
762 Bean RD, Apartment 2, Colchester, VT 05446-6830
Fax
—
Last updated
October 13, 2015

Jacob Magnan is a Dietitian, Registered based in Colchester, VT. Jacob Magnan practices in Colchester, VT and has the professional credentials of RD. The NPI Number for Jacob Magnan is 1366813685 and holds a License No. 074.0115928 (VT). The current practice location address for Jacob Magnan is 762 Bean RD, Apartment 2, Colchester, VT 05446-6830 and can be reached out via phone at 484-241-1189.

Provider Profile Details

NPI Number
1366813685
Provider Name
Jacob Magnan
Credential
RD
Provider Entity Type
Individual
Gender
Male
Address
762 Bean RD, Apartment 2, Colchester, VT 05446-6830
Phone Number
484-241-1189
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 13, 2015
Last Update Date
October 13, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
762 Bean RD
Apartment 2
Colchester, VT 05446-6830
State
Vermont
Zip
05446-6830
Phone Number
484-241-1189
Colchester, VT 05446Get directions →

Provider Business Mailing Address Details

Address
762 Bean RD
Apartment 2
Colchester, VT 05446-6830
City
Colchester
State
VT
Zip
05446-6830
Phone Number
484-241-1189

License Information

License Number
074.0115928
License State
VT
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Jacob Magnan, RD?

The NPI number of Jacob Magnan, RD is 1366813685. It was assigned on October 13, 2015 and is currently active in the NPPES registry.

What is the specialty of Jacob Magnan, RD?

Jacob Magnan, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in VT under license number 074.0115928.

Where does Jacob Magnan, RD practice?

The practice location is 762 Bean RD, Apartment 2, Colchester, VT 05446-6830. The office can be reached at 484-241-1189 (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 1366813685 directly on the NPPES registry website.

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