Provider Demographics
NPI:1295852200
Name:ST. JOER, SACHIKO (PHD, RD)
Entity Type:Individual
Prefix:DR
First Name:SACHIKO
Middle Name:
Last Name:ST. JOER
Suffix:
Gender:F
Credentials:PHD, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Mailing Address - Street 2:REDFIELD BLDG/MAIL STOP 153/NUTRITION DEPT.
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89557-0001
Mailing Address - Country:US
Mailing Address - Phone:775-784-4474
Mailing Address - Fax:775-784-4463
Practice Address - Street 1:1500 E 2ND ST
Practice Address - Street 2:302
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1181
Practice Address - Country:US
Practice Address - Phone:775-784-7500
Practice Address - Fax:775-784-7505
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV38023Medicare PIN