Provider Demographics
NPI:1275766719
Name:HANDSCHKE, JOCELYN IRWIN (RD)
Entity Type:Individual
Prefix:MRS
First Name:JOCELYN
Middle Name:IRWIN
Last Name:HANDSCHKE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MRS
Other - First Name:JOCELYN
Other - Middle Name:E
Other - Last Name:IRWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 ACKERMAN RD
Mailing Address - Street 2:SUITE 385
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-947-3700
Mailing Address - Fax:614-947-3771
Practice Address - Street 1:1581 DODD DR
Practice Address - Street 2:491 CAMPBELL HALL
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1257
Practice Address - Country:US
Practice Address - Phone:614-292-5118
Practice Address - Fax:614-292-5417
Is Sole Proprietor?:No
Enumeration Date:2009-09-01
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5882133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered