Provider Demographics
NPI:1730736448
Name:SCHIFFELBINE, VANESSA (RDN)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:SCHIFFELBINE
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2204 SAINT CLAIR HWY
Mailing Address - Street 2:
Mailing Address - City:EAST CHINA
Mailing Address - State:MI
Mailing Address - Zip Code:48054-5004
Mailing Address - Country:US
Mailing Address - Phone:810-841-4955
Mailing Address - Fax:
Practice Address - Street 1:2204 SAINT CLAIR HWY
Practice Address - Street 2:
Practice Address - City:EAST CHINA
Practice Address - State:MI
Practice Address - Zip Code:48054-5004
Practice Address - Country:US
Practice Address - Phone:810-841-4955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-19
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered