Provider Demographics
NPI:1346482312
Name:SHIEFF NUTRITION SERVICES
Entity Type:Organization
Organization Name:SHIEFF NUTRITION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:SHIEFF
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:719-660-0749
Mailing Address - Street 1:6160 HEARTH CT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-1808
Mailing Address - Country:US
Mailing Address - Phone:719-660-0749
Mailing Address - Fax:
Practice Address - Street 1:6160 HEARTH CT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80922-1808
Practice Address - Country:US
Practice Address - Phone:719-660-0749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-06
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMLD-0730133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty