Basic Information
| Provider Information | |||||||||
| NPI: | 1437113040 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | POKORNY | ||||||||
| FirstName: | ALISON | ||||||||
| MiddleName: | D | ||||||||
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| Credential: | RD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 660 ACKERMAN 3RD FLOOR | ||||||||
| Address2: | PO BOX 183103 | ||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432183103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6142932391 | ||||||||
| FaxNumber: | 6142936479 | ||||||||
| Practice Location | |||||||||
| Address1: | 450 WEST TENTH AVENUE | ||||||||
| Address2: | DEPT OF NUTRITION 9-07 RHODES HALL | ||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 43210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6142932300 | ||||||||
| FaxNumber: | 6142933740 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/12/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | LD5384 | OH | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.