Healthcare Provider Details

I. General information

NPI: 1629863667
Provider Name (Legal Business Name): SABRINA HELMER RD
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 W WASHINGTON ST
MARQUETTE MI
49855-3116
US

IV. Provider business mailing address

1400 W WASHINGTON ST
MARQUETTE MI
49855-3116
US

V. Phone/Fax

Practice location:
  • Phone: 906-449-1460
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: