Provider Demographics
NPI:1619701265
Name:HAGER, ERIKA J (RDN)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:J
Last Name:HAGER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:MISS
Other - First Name:ERIKA
Other - Middle Name:
Other - Last Name:FLETCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ERIKA JOYCE FLETCHER
Mailing Address - Street 1:9 PRIVATE DRIVE 17
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:OH
Mailing Address - Zip Code:45619-6909
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9 PRIVATE DRIVE 17
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:OH
Practice Address - Zip Code:45619-6909
Practice Address - Country:US
Practice Address - Phone:304-993-4687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1222133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered