Mrs Beth Carol Theisen, RD, CDE - Dietitian in Detroit, MI

Mrs Beth Carol Theisen, RD, CDE is a Dietitian, Registered based in Detroit, Michigan. Mrs Beth Carol Theisen is licensed to practice in Michigan (license number R014448) and her current practice location is 22151 Moross Rd, Pb 1, Suite 228, Diabetes Education, Detroit, Michigan. She can be reached at her office (for appointments etc.) via phone at (313) 343-4181.

NPI number for Mrs Beth Carol Theisen is 1548370984 and her current mailing address is 22151 Moross Rd, Pb 1, Suite 228, Diabetes Education, Detroit, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548370984.

Contact Information

Mrs Beth Carol Theisen, RD, CDE
22151 Moross Rd, Pb 1, Suite 228, Diabetes Education,
Detroit, MI 48236-2167
(313) 343-4181
(313) 343-7326

Map and Direction




Healthcare Provider's Profile

Full NameMrs Beth Carol Theisen
GenderFemale
SpecialityDietitian, Registered
Location22151 Moross Rd, Detroit, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548370984
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Beth Carol Theisen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548370984NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered R014448 (Michigan)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. Mrs Beth Carol Theisen 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 AddressPractice Location Address
Mrs Beth Carol Theisen, RD, CDE
22151 Moross Rd, Pb 1, Suite 228, Diabetes Education,
Detroit, MI 48236-2167

Ph: (313) 343-4181
Mrs Beth Carol Theisen, RD, CDE
22151 Moross Rd, Pb 1, Suite 228, Diabetes Education,
Detroit, MI 48236-2167

Ph: (313) 343-4181

Reviews and Comments


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