1811290687 NPI number — LOIS H. CHAIT R.D., C.D.N., L.D.N.

Table of content: MRS. YER YANG (NPI 1609013135)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811290687 NPI number — LOIS H. CHAIT R.D., C.D.N., L.D.N.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHAIT
Provider First Name:
LOIS
Provider Middle Name:
H.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
R.D., C.D.N., L.D.N.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FISHKIN
Provider Other First Name:
LOIS
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
R.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1811290687
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/01/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7623 VINISTE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOYNTON BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33472-7395
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-729-4079
Provider Business Mailing Address Fax Number:
888-219-5510

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7623 VINISTE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOYNTON BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33472-7395
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-729-4079
Provider Business Practice Location Address Fax Number:
855-219-5510
Provider Enumeration Date:
12/16/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  LD005582 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 133V00000X , with the licence number: ND9152 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 133V00000X , with the licence number: 000363-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: D1200001308 . This is a "LICENSE DIETITIAN/NUTRITIONIST" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: ND9152 . This is a "LICENSE DIETITIAN/NUTRITIONIST" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 2678 . This is a "LICENSE DIETITIAN/NUTRITIONIST" identifier , issued by the state of ( OK ) . This identifiers is of the category "OTHER".
  • Identifier: 2021006210 . This is a "LICENSE DIETITIAN/NUTRITIONIST" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: DN-0010971 . This is a "LICENSE DIETITIAN/NUTRITIONIST" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 164008655 . This is a "LICENSE" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: LD005582 . This is a "REGISTERED DIETITIAN" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 2715 . This is a "LICENSE DIETITIAN/NUTRITIONIST" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 000363 . This is a "LICENSE DIETITIAN/NUTRITIONIST" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4947 . This is a "LICENSE DIETITIAN/NUTRITIONIST" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".




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