Eileen Richards Deleeuw, MS,RD,CDE is a
Dietitian, Registered based in Tooele, Utah. Eileen Richards Deleeuw is licensed to practice in Utah (license number 104266-4901) and her current practice location is
300 South Main Street #3, Tooele, Utah. She can be reached at her office (for appointments etc.) via phone at
(435) 843-8881.
NPI number for Eileen Richards Deleeuw is 1104056068 and her current mailing address is 222 Julie Ann Court, Tooele, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104056068.
Healthcare Provider's Profile
| Full Name | Eileen Richards Deleeuw |
|---|
| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 300 South Main Street #3, Tooele, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104056068
- Provider Enumeration Date: 07/24/2009
- Last Update Date: 07/24/2009
Medical Identifiers
Medical identifiers for Eileen Richards Deleeuw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104056068 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 104266-4901 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eileen Richards Deleeuw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Eileen Richards Deleeuw, MS,RD,CDE 222 Julie Ann Court, Tooele, UT 84074 Ph: (435) 840-0299 | Eileen Richards Deleeuw, MS,RD,CDE 300 South Main Street #3, Tooele, UT 84074 Ph: (435) 843-8881 |
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