Provider Demographics
NPI:1487615654
Name:STRIMEL, DENISE M (MS,RD,CSR,LD)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:M
Last Name:STRIMEL
Suffix:
Gender:F
Credentials:MS,RD,CSR,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 16TH ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-3660
Mailing Address - Country:US
Mailing Address - Phone:304-242-7751
Mailing Address - Fax:304-242-7254
Practice Address - Street 1:58 16TH ST
Practice Address - Street 2:SUITE 500
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3660
Practice Address - Country:US
Practice Address - Phone:304-242-7751
Practice Address - Fax:304-242-7254
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV84133VN1005X
OH4155133VN1005X
PADN000489133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV00084OtherHPUOV
WV00084OtherHPUOV
WVP00006818Medicare ID - Type UnspecifiedRAILROAD MEDICARE