Provider Demographics
NPI:1396017281
Name:HOJNACKI, SARAH (MS, RD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:HOJNACKI
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29484 ASHLAND AVE
Mailing Address - Street 2:APARTMENT 301
Mailing Address - City:HARRISON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48045-2291
Mailing Address - Country:US
Mailing Address - Phone:517-242-7038
Mailing Address - Fax:
Practice Address - Street 1:29484 ASHLAND AVE
Practice Address - Street 2:APARTMENT 301
Practice Address - City:HARRISON TWP
Practice Address - State:MI
Practice Address - Zip Code:48045-2291
Practice Address - Country:US
Practice Address - Phone:517-242-7038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1042326133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered