Healthcare Provider Details
I. General information
NPI: 1487610671
Provider Name (Legal Business Name): BELINDA S STEINACKER M.S., R.D., L.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/25/2006
Last Update Date: 05/20/2020
Certification Date: 05/20/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
MADIGAN ARMY MEDICAL CENTER 9040A JACKSON AVE
TACOMA WA
98431-0001
US
IV. Provider business mailing address
MADIGAN ARMY MEDICAL CENTER 9040A JACKSON AVE
TACOMA WA
98431-0001
US
V. Phone/Fax
- Phone: 253-968-0547
- Fax:
- Phone: 253-968-0547
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133V00000X |
| Taxonomy | Registered Dietitian |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 133V00000X |
| Taxonomy | Registered Dietitian |
| License Number | 0253 |
| License Number State | SD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: