Provider Demographics
NPI:1356519078
Name:BIEGLER, RENEE ELAINE (RD)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:ELAINE
Last Name:BIEGLER
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 1:807 G ST.
Mailing Address - Street 2:BOX 154
Mailing Address - City:TIMBER LAKE
Mailing Address - State:SD
Mailing Address - Zip Code:57656
Mailing Address - Country:US
Mailing Address - Phone:605-865-3229
Mailing Address - Fax:
Practice Address - Street 1:807 G ST.
Practice Address - Street 2:BOX 154
Practice Address - City:TIMBER LAKE
Practice Address - State:SD
Practice Address - Zip Code:57656
Practice Address - Country:US
Practice Address - Phone:605-865-3229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0338133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered