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NPI Code Detail

MEDICARE: SARAH GILCHRIST

MEDICARE: SARAH GILCHRIST
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
1136A00000XRegistered Dietetic TechnicianSS970449OH

General Provider Information

NPI Number : 1962873802
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH GILCHRIST
Provider Business Mailing Address
First Line : 2141 OVERLOOK RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44106-5995
Country : US
Telephone Number : 888-364-5977
Fax Number :
Provider Business Practice Location Address
First Line : 2141 OVERLOOK RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44106-5995
Country : US
Telephone Number : 888-364-5977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2015
Last Update Date : 10/19/2015

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Directions to “ SARAH GILCHRIST ” Practice Location

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