Basic Information
Provider Information
NPI: 1154507937
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VAN MEERBEKE
FirstName: BARBARA
MiddleName: EASTON
NamePrefix:  
NameSuffix:  
Credential: RD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 785 5TH AVE
Address2: SUITE 3
City: CHAMBERSBURG
State: PA
PostalCode: 172014232
CountryCode: US
TelephoneNumber: 7172639555
FaxNumber: 7172174218
Practice Location
Address1: 12 ST PAUL DR STE 210
Address2:  
City: CHAMBERSBURG
State: PA
PostalCode: 172011035
CountryCode: US
TelephoneNumber: 7172176820
FaxNumber: 7172176942
Other Information
ProviderEnumerationDate: 01/11/2008
LastUpdateDate: 06/18/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/18/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WD0400XDN001820PAN Nursing Service ProvidersRegistered NurseDiabetes Educator
133V00000XD01957MDN Dietary & Nutritional Service ProvidersDietitian, Registered 
133V00000XDN001820PAY Dietary & Nutritional Service ProvidersDietitian, Registered 

No ID Information.


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