Provider Demographics
NPI:1346509379
Name:GALANG MEEKER, JENNIFER REITZ (MA, RD/LD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:REITZ
Last Name:GALANG MEEKER
Suffix:
Gender:F
Credentials:MA, RD/LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44641-1108
Mailing Address - Country:US
Mailing Address - Phone:330-353-8262
Mailing Address - Fax:
Practice Address - Street 1:1010 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:OH
Practice Address - Zip Code:44641-1108
Practice Address - Country:US
Practice Address - Phone:330-353-8262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5873133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered