Provider Demographics
NPI:1093420507
Name:BECHDOLT, CHLOE LOREN (RD, LD)
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:LOREN
Last Name:BECHDOLT
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 N WAPAK RD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45807-9457
Mailing Address - Country:US
Mailing Address - Phone:419-296-3668
Mailing Address - Fax:
Practice Address - Street 1:1350 N WAPAK RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45807-9457
Practice Address - Country:US
Practice Address - Phone:419-296-3668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH09142133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered