Jacklyn Marie Van Arsdale, RD, LDN, LPC is a
Dietitian, Registered based in Salunga, Pennsylvania. Jacklyn Marie Van Arsdale is licensed to practice in Pennsylvania (license number DN004686) and her current practice location is
101 W Main St Unit G2, Salunga, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(267) 402-0252.
NPI number for Jacklyn Marie Van Arsdale is 1184909541 and her current mailing address is 176b Middle Creek Rd, Lititz, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184909541.
Healthcare Provider's Profile
Full Name | Jacklyn Marie Van Arsdale |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 101 W Main St Unit G2, Salunga, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184909541
- Provider Enumeration Date: 10/18/2011
- Last Update Date: 08/01/2020
Medical Identifiers
Medical identifiers for Jacklyn Marie Van Arsdale such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184909541 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DN004686 (Pennsylvania) | Primary |
101Y00000X | Counselor | PC012543 (Pennsylvania) | Secondary |
101YP2500X | Counselor - Professional | PC012543 (Pennsylvania) | Secondary |
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. Jacklyn Marie Van Arsdale 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 |
Jacklyn Marie Van Arsdale, RD, LDN, LPC 176b Middle Creek Rd, Lititz, PA 17543-8894 Ph: (267) 402-0252 | Jacklyn Marie Van Arsdale, RD, LDN, LPC 101 W Main St Unit G2, Salunga, PA 17538-1109 Ph: (267) 402-0252 |
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