Healthcare Provider Details

I. General information

NPI: 1790951366
Provider Name (Legal Business Name): JULIE ANN ONISK R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIE K ONISK R.D.

II. Dates (important events)

Enumeration Date: 05/05/2008
Last Update Date: 05/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3506 KENNETT PIKE
WILMINGTON DE
19807-3019
US

IV. Provider business mailing address

2 DOVER CT
BEAR DE
19701-1618
US

V. Phone/Fax

Practice location:
  • Phone: 302-661-3070
  • Fax:
Mailing address:
  • Phone: 302-832-2843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License NumberDO1726
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: