Provider Demographics
NPI:1134704810
Name:SARAH BISKOBING, RDN LLC
Entity Type:Organization
Organization Name:SARAH BISKOBING, RDN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BISKOBING
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, CD
Authorized Official - Phone:262-477-3662
Mailing Address - Street 1:155 N MAIN ST STE E
Mailing Address - Street 2:
Mailing Address - City:WEST BEND
Mailing Address - State:WI
Mailing Address - Zip Code:53095-3355
Mailing Address - Country:US
Mailing Address - Phone:262-477-3662
Mailing Address - Fax:
Practice Address - Street 1:155 N MAIN ST STE E
Practice Address - Street 2:
Practice Address - City:WEST BEND
Practice Address - State:WI
Practice Address - Zip Code:53095-3355
Practice Address - Country:US
Practice Address - Phone:262-477-3662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-14
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty