MEDICARE: JULIE GREENWALD R.D., L.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	4668	OH

General Provider Information

NPI Number	:	1245502392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE GREENWALD R.D., L.D.

Provider Business Mailing Address
First Line	:	7863 CHARLINE CT
Second Line	:
City	:	LEWIS CENTER
State	:	OH
Zip	:	43035-8125
Country	:	US
Telephone Number	:	740-972-1872
Fax Number	:

Provider Business Practice Location Address
First Line	:	1904 BETHEL RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-1864
Country	:	US
Telephone Number	:	614-451-1910
Fax Number	:	614-451-1960

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2012
Last Update Date	:	05/08/2026

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