Provider Demographics
NPI:1891045811
Name:JILL WEISENBERGER HEALTH COMMUNICATIONS, LLC
Entity Type:Organization
Organization Name:JILL WEISENBERGER HEALTH COMMUNICATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, CDE
Authorized Official - Phone:757-969-8385
Mailing Address - Street 1:PO BOX 2444
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23692-5444
Mailing Address - Country:US
Mailing Address - Phone:757-969-8385
Mailing Address - Fax:
Practice Address - Street 1:11747 JEFFERSON AVE
Practice Address - Street 2:SUITE 1-B
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-1998
Practice Address - Country:US
Practice Address - Phone:757-969-8385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty