Provider Demographics
NPI:1649494022
Name:BELLON, RHETT JAMES (LDN,RD)
Entity type:Individual
Prefix:MR
First Name:RHETT
Middle Name:JAMES
Last Name:BELLON
Suffix:
Gender:M
Credentials:LDN,RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:23129 BELLON RD
Mailing Address - Street 2:
Mailing Address - City:KINDER
Mailing Address - State:LA
Mailing Address - Zip Code:70648-4101
Mailing Address - Country:US
Mailing Address - Phone:337-527-4282
Mailing Address - Fax:337-527-4127
Practice Address - Street 1:701 CYPRESS ST
Practice Address - Street 2:NUTRITIONAL SERVICES DEPARTMENT
Practice Address - City:SULPHUR
Practice Address - State:LA
Practice Address - Zip Code:70663-5053
Practice Address - Country:US
Practice Address - Phone:337-527-4282
Practice Address - Fax:337-527-4127
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1577133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered