Mr Anthony Andrew Divalentin Iv, RD, LD is a
Dietitian, Registered based in Ohatchee, Alabama. Mr Anthony Andrew Divalentin Iv is licensed to practice in Alabama (license number 1527) and his current practice location is
6920 Boiling Springs Rd, Ohatchee, Alabama. He can be reached at his office (for appointments etc.) via phone at
(256) 892-6779.
NPI number for Mr Anthony Andrew Divalentin Iv is 1245402007 and his current mailing address is 6920 Boiling Springs Rd, Ohatchee, Alabama. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245402007.
Healthcare Provider's Profile
Full Name | Mr Anthony Andrew Divalentin Iv |
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Gender | Male |
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Speciality | Dietitian, Registered |
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Location | 6920 Boiling Springs Rd, Ohatchee, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245402007
- Provider Enumeration Date: 04/01/2008
- Last Update Date: 04/01/2008
Medical Identifiers
Medical identifiers for Mr Anthony Andrew Divalentin Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245402007 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1527 (Alabama) | 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. Mr Anthony Andrew Divalentin Iv 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 |
Mr Anthony Andrew Divalentin Iv, RD, LD 6920 Boiling Springs Rd, Ohatchee, AL 36271-6341 Ph: (256) 892-6779 | Mr Anthony Andrew Divalentin Iv, RD, LD 6920 Boiling Springs Rd, Ohatchee, AL 36271-6341 Ph: (256) 892-6779 |
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