Provider Demographics
NPI:1831881390
Name:SCHOFIELD, MARSHA (MS RD LD FAND)
Entity type:Individual
Prefix:
First Name:MARSHA
Middle Name:
Last Name:SCHOFIELD
Suffix:
Gender:F
Credentials:MS RD LD FAND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4186 CHEVAL CIR
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-5229
Mailing Address - Country:US
Mailing Address - Phone:330-689-0116
Mailing Address - Fax:
Practice Address - Street 1:4186 CHEVAL CIR
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-5229
Practice Address - Country:US
Practice Address - Phone:330-620-5516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD5722133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered