Provider Demographics
NPI:1902285489
Name:GIANT EAGLE, INC.
Entity Type:Organization
Organization Name:GIANT EAGLE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:STOCKLE
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LD
Authorized Official - Phone:216-215-5251
Mailing Address - Street 1:34310 AURORA RD
Mailing Address - Street 2:GIANT EAGLE MARKET DISTRICT
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-3805
Mailing Address - Country:US
Mailing Address - Phone:877-289-2588
Mailing Address - Fax:
Practice Address - Street 1:34310 AURORA RD
Practice Address - Street 2:GIANT EAGLE MARKET DISTRICT
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-3805
Practice Address - Country:US
Practice Address - Phone:877-289-2588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH86000917133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Single Specialty