Provider Demographics
NPI:1487626818
Name:BOOK, CHRISTINE CARFRAE (RD)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:CARFRAE
Last Name:BOOK
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1113 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-4722
Mailing Address - Country:US
Mailing Address - Phone:970-622-9997
Mailing Address - Fax:970-667-8383
Practice Address - Street 1:1113 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-4722
Practice Address - Country:US
Practice Address - Phone:970-622-9997
Practice Address - Fax:970-667-8383
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COR479397133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO452628Medicare ID - Type Unspecified