=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386731701
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CLAUDIA ELIZABETH ULINTZ RD LD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/06/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7007 POWERS BLVD PARMA COMMUNITY GEN HOSPITAL
-----------------------------------------------------
City | PARMA
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44129-5495
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-743-2150
-----------------------------------------------------
Fax | 440-743-2280
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2196 HOLLYLAND DRIVE
-----------------------------------------------------
City | BROADVIEW HEIGHTS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44147-1112
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-237-8218
-----------------------------------------------------
Fax | 440-237-8307
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 133V00000X
-----------------------------------------------------
Taxonomy Name | Registered Dietitian
-----------------------------------------------------
License Number | L1673
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------