Provider Demographics
NPI:1629359492
Name:CAINE-BISH, NATALIE LYNN (RD)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:LYNN
Last Name:CAINE-BISH
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:EASTWAY DR
Mailing Address - Street 2:KSU DEWEESE HEALTH CENTER
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44242-0001
Mailing Address - Country:US
Mailing Address - Phone:330-672-8245
Mailing Address - Fax:330-672-3711
Practice Address - Street 1:EASTWAY DR
Practice Address - Street 2:KSU DEWEESE HEALTH CENTER
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44242-0001
Practice Address - Country:US
Practice Address - Phone:330-672-8245
Practice Address - Fax:330-672-3711
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD.5577133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered