Michael Joshua Wootson I, RD, LDN is a
Dietitian, Registered based in Willingboro, New Jersey. Michael Joshua Wootson I is licensed to practice in Pennsylvania (license number DN007628) and his current practice location is
43 Middleton Ln, Willingboro, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(609) 379-0196.
NPI number for Michael Joshua Wootson I is 1336872746 and his current mailing address is 43 Middleton Ln, Willingboro, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336872746.
Healthcare Provider's Profile
Full Name | Michael Joshua Wootson I |
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Gender | Male |
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Speciality | Dietitian, Registered |
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Location | 43 Middleton Ln, Willingboro, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336872746
- Provider Enumeration Date: 07/04/2022
- Last Update Date: 07/04/2022
Medical Identifiers
Medical identifiers for Michael Joshua Wootson I such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336872746 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133VN1004X | Dietitian, Registered - Nutrition, Pediatric | (* (Not Available)) | Secondary |
133VN1101X | Dietitian, Registered - Nutrition, Gerontological | (* (Not Available)) | Secondary |
133VN1501X | Dietitian, Registered - Nutrition, Sports Dietetics | (* (Not Available)) | Secondary |
133V00000X | Dietitian, Registered | DN007628 (Pennsylvania) | 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. Michael Joshua Wootson I 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 |
Michael Joshua Wootson I, RD, LDN 43 Middleton Ln, Willingboro, NJ 08046-3127 Ph: (609) 379-0196 | Michael Joshua Wootson I, RD, LDN 43 Middleton Ln, Willingboro, NJ 08046-3127 Ph: (609) 379-0196 |
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