Provider Demographics
NPI:1801440516
Name:GERBERS, ABIGAIL JANE (RDN)
Entity type:Individual
Prefix:MS
First Name:ABIGAIL
Middle Name:JANE
Last Name:GERBERS
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1855 INDEPENDENCE RD APT 302
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-1286
Mailing Address - Country:US
Mailing Address - Phone:920-639-8022
Mailing Address - Fax:
Practice Address - Street 1:882 S HAMILTON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-3003
Practice Address - Country:US
Practice Address - Phone:614-235-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-31
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH86111245133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered