Leslie C Bak, CNSD, RD, LDN
Dietitian, Registered, Nutrition, Metabolic in Brockton, Massachusetts
1417134214- Practice location
- 680 Centre St, Brockton, MA 02302-3308
- Phone
- 508-941-7252
- Fax
- 508-941-6412
- Last updated
- January 24, 2008
Leslie C. Bak is a Dietitian, Registered, Nutrition, Metabolic based in Brockton, MA. Leslie C. Bak practices in Brockton, MA and has the professional credentials of CNSD, RD, LDN. The NPI Number for Leslie C. Bak is 1417134214 and holds a License No. 2187 (MA). The current practice location address for Leslie C. Bak is 680 Centre St, Brockton, MA 02302-3308 and can be reached out via phone at 508-941-7252 and via fax at 508-941-6412.
Provider Profile Details
- NPI Number
- 1417134214
- Provider Name
- Leslie C. Bak
- Credential
- CNSD, RD, LDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 680 Centre St, Brockton, MA 02302-3308
- Phone Number
- 508-941-7252
- Fax Number
- 508-941-6412
- Primary Taxonomy
- Dietitian, Registered, Nutrition, Metabolic · 133VN1006X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 24, 2008
- Last Update Date
- January 24, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 680 Centre St
Brockton, MA 02302-3308 - City
- Brockton
- State
- Massachusetts
- Zip
- 02302-3308
- Phone Number
- 508-941-7252
- Fax Number
- 508-941-6412
Provider Business Mailing Address Details
- Address
- 680 Centre St
Brockton, MA 02302-3308 - City
- Brockton
- State
- MA
- Zip
- 02302-3308
- Phone Number
- 508-941-7252
- Fax Number
- 508-941-6412
License Information
- License Number
- 2187
- License State
- MA
- Taxonomy
- Dietitian, Registered, Nutrition, Metabolic · 133VN1006X · 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 Leslie C Bak, CNSD, RD, LDN?
The NPI number of Leslie C Bak, CNSD, RD, LDN is 1417134214. It was assigned on January 24, 2008 and is currently active in the NPPES registry.
What is the specialty of Leslie C Bak, CNSD, RD, LDN?
Leslie C Bak, CNSD, RD, LDN is registered under the primary taxonomy Dietitian, Registered, Nutrition, Metabolic (code 133VN1006X), licensed in MA under license number 2187.
Where does Leslie C Bak, CNSD, RD, LDN practice?
The practice location is 680 Centre St, Brockton, MA 02302-3308. The office can be reached at 508-941-7252 (phone) or 508-941-6412 (fax).
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 1417134214 directly on the NPPES registry website.