MEDICARE: JENNIFER REITZ GALANG MEEKER MA, RD/LD

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	5873	OH

General Provider Information

NPI Number	:	1346509379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER REITZ GALANG MEEKER MA, RD/LD

Provider Business Mailing Address
First Line	:	1010 W MAIN ST
Second Line	:
City	:	LOUISVILLE
State	:	OH
Zip	:	44641-1108
Country	:	US
Telephone Number	:	330-353-8262
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 W MAIN ST
Second Line	:
City	:	LOUISVILLE
State	:	OH
Zip	:	44641-1108
Country	:	US
Telephone Number	:	330-353-8262
Fax Number	:

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

Provider Enumeration Date	:	05/11/2012
Last Update Date	:	05/11/2012

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