Provider Demographics
NPI:1073515490
Name:BELFORTI, JANIS B (RD)
Entity Type:Individual
Prefix:MRS
First Name:JANIS
Middle Name:B
Last Name:BELFORTI
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 305
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05661-0305
Mailing Address - Country:US
Mailing Address - Phone:802-888-4190
Mailing Address - Fax:
Practice Address - Street 1:2231 RANDOLPH RD
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:VT
Practice Address - Zip Code:05661-8148
Practice Address - Country:US
Practice Address - Phone:802-888-4190
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0740000160133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered