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Contact Information

HEATHER JERZAK, RD, CD
N6520 LUMBER JACK GUY RD
BLACK RIVER FALLS, WI54615
 Phone: 888-685-4422
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for HEATHER JERZAK · (Female)

NPI # 1124455183
Status Active
Credentials RD, CD
Entity Individual
Enumeration date 10/04/2013
Last updated 02/01/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2652-29
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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