MEDICARE: LIBBY ROTHSCHILD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1750071346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIBBY ROTHSCHILD LLC

Provider Business Mailing Address
First Line	:	3274 TILTON ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19134-5924
Country	:	US
Telephone Number	:	908-718-7638
Fax Number	:	855-631-3697

Provider Business Practice Location Address
First Line	:	115 W DUNKLIN ST UNIT D
Second Line	:
City	:	JEFFERSON CITY
State	:	MO
Zip	:	65101-2937
Country	:	US
Telephone Number	:	908-718-7638
Fax Number	:	855-631-3697

Authorized Official
Title or Position	:	REGISTERED DIETITIAN
Name	:	ELIZABETH NANCY ROTHSCHILD
Credential	:	RDN
Telephone Number	:	908-718-7638

Provider Enumeration Date	:	05/09/2023
Last Update Date	:	12/10/2025

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