Provider Demographics
NPI:1891996690
Name:SCHOFIELD, TAMMY S (MS RD CD)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:S
Last Name:SCHOFIELD
Suffix:
Gender:F
Credentials:MS RD CD
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:S
Other - Last Name:KLINK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS RD CD
Mailing Address - Street 1:703 W HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-6972
Mailing Address - Country:US
Mailing Address - Phone:715-552-0430
Mailing Address - Fax:715-839-9348
Practice Address - Street 1:703 W HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-6972
Practice Address - Country:US
Practice Address - Phone:715-552-0430
Practice Address - Fax:715-839-9348
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1900-029133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered