Provider Demographics
NPI:1982234225
Name:EMFINGER, REBECCA R (RDN,LD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:R
Last Name:EMFINGER
Suffix:
Gender:F
Credentials:RDN,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 CAUSEY RD SE
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39653-7188
Mailing Address - Country:US
Mailing Address - Phone:601-384-5250
Mailing Address - Fax:
Practice Address - Street 1:102 W FREEDOM DR
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:MS
Practice Address - Zip Code:39645-7295
Practice Address - Country:US
Practice Address - Phone:601-657-8091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-24
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSD0007133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered