Provider Demographics
NPI:1265867626
Name:QUICKEL, SHEILA (RD)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:QUICKEL
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:
Other - Last Name:MCDONALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:823 WALNUT SHADE ROAD
Mailing Address - Street 2:POLYTECH HIGH SCHOOL WELLNESS CENTER
Mailing Address - City:WOODSIDE
Mailing Address - State:DE
Mailing Address - Zip Code:19980
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:823 WALNUT SHADE ROAD
Practice Address - Street 2:POLYTECH HIGH SCHOOL WELLNESS CENTER
Practice Address - City:WOODSIDE
Practice Address - State:DE
Practice Address - Zip Code:19980
Practice Address - Country:US
Practice Address - Phone:302-697-8402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered