Mrs Mary Elisabeth Qiblawi, RD, CD is a
Dietitian, Registered based in Cudahy, Wisconsin. Mrs Mary Elisabeth Qiblawi is licensed to practice in Wisconsin (license number 1082-029) and her current practice location is
5900 S Lake Dr, Cudahy, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 489-4532.
NPI number for Mrs Mary Elisabeth Qiblawi is 1134286651 and her current mailing address is 5839 W Edgerton Ave, Greenfield, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134286651.
Healthcare Provider's Profile
| Full Name | Mrs Mary Elisabeth Qiblawi |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 5900 S Lake Dr, Cudahy, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134286651
- Provider Enumeration Date: 01/03/2007
- Last Update Date: 08/03/2007
Medical Identifiers
Medical identifiers for Mrs Mary Elisabeth Qiblawi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134286651 | NPI | - | NPPES |
| 1082-029 | Other | WI | STATE OF WI CREDENTIAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 1082-029 (Wisconsin) | 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. Mrs Mary Elisabeth Qiblawi 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 |
Mrs Mary Elisabeth Qiblawi, RD, CD 5839 W Edgerton Ave, Greenfield, WI 53220-4923 Ph: (414) 421-7440 | Mrs Mary Elisabeth Qiblawi, RD, CD 5900 S Lake Dr, Cudahy, WI 53110-3171 Ph: (414) 489-4532 |
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