Healthcare Provider Details

I. General information

NPI: 1396017281
Provider Name (Legal Business Name): SARAH HOJNACKI M.S., R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2012
Last Update Date: 02/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29484 ASHLAND AVE APARTMENT 301
HARRISON TWP MI
48045-2291
US

IV. Provider business mailing address

29484 ASHLAND AVE APARTMENT 301
HARRISON TWP MI
48045-2291
US

V. Phone/Fax

Practice location:
  • Phone: 517-242-7038
  • Fax:
Mailing address:
  • Phone: 517-242-7038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1042326
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: