Provider Demographics
NPI:1356442545
Name:OFFERLE, LINDA MARIE (RD)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MARIE
Last Name:OFFERLE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:MARIE
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10980 WHITTAKER ROAD
Mailing Address - Street 2:
Mailing Address - City:WHITTAKER
Mailing Address - State:MI
Mailing Address - Zip Code:48190-0121
Mailing Address - Country:US
Mailing Address - Phone:734-461-1278
Mailing Address - Fax:
Practice Address - Street 1:10980 WHITTAKER ROAD
Practice Address - Street 2:
Practice Address - City:WHITTAKER
Practice Address - State:MI
Practice Address - Zip Code:48190-0121
Practice Address - Country:US
Practice Address - Phone:734-461-1278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered