Active NPIIndividual provider

Joanne C Mailloux, MS, RD, LD

Dietitian, Registered in Gardner, Massachusetts

NPI Number1871625715
Practice location
242 Green St, Gardner, MA 01440-1336
Fax
978-630-6820
Last updated
August 13, 2010

Joanne C Mailloux is a Dietitian, Registered based in Gardner, MA. Joanne C Mailloux practices in Gardner, MA and has the professional credentials of MS, RD, LD. The NPI Number for Joanne C Mailloux is 1871625715 and holds a License No. 1966 (MA). The current practice location address for Joanne C Mailloux is 242 Green St, Gardner, MA 01440-1336 and can be reached out via phone at 978-630-6234 and via fax at 978-630-6820.

Provider Profile Details

NPI Number
1871625715
Provider Name
Joanne C Mailloux
Credential
MS, RD, LD
Provider Entity Type
Individual
Gender
Female
Address
242 Green St, Gardner, MA 01440-1336
Phone Number
978-630-6234
Fax Number
978-630-6820
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
March 9, 2007
Last Update Date
August 13, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
242 Green St
Gardner, MA 01440-1336
Zip
01440-1336
Phone Number
978-630-6234
Fax Number
978-630-6820
Gardner, MA 01440Get directions →

Provider Business Mailing Address Details

Address
242 Green St
Gardner, MA 01440-1336
City
Gardner
State
MA
Zip
01440-1336
Phone Number
978-630-6234
Fax Number
978-630-6820

License Information

License Number
1966
License State
MA
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 Joanne C Mailloux, MS, RD, LD?

The NPI number of Joanne C Mailloux, MS, RD, LD is 1871625715. It was assigned on March 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Joanne C Mailloux, MS, RD, LD?

Joanne C Mailloux, MS, RD, LD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 1966.

Where does Joanne C Mailloux, MS, RD, LD practice?

The practice location is 242 Green St, Gardner, MA 01440-1336. The office can be reached at 978-630-6234 (phone) or 978-630-6820 (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 1871625715 directly on the NPPES registry website.

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