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Contact Information

REBECCA BUTZ, MS, RD, LD
350 WEST WOODROW WILSON AVENUE
2ND FLOOR, RENAL CLINIC
JACKSON, MS39213
 Phone: 601-815-6572
 Fax: 601-984-4151
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for REBECCA BUTZ · (Female)

NPI Number 1922538057
Status Active
Credentials MS, RD, LD
Entity Individual
Enumeration date 06/12/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MS License # D1624
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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