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Contact Information

DOUGLAS C DRENCKPOHL, DCN, RD
530 NE GLEN OAK AVE
PEORIA, IL61637
 Phone: 309-624-0621
 Fax: 309-624-4291
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for DOUGLAS C DRENCKPOHL · (Male)

NPI # 1194526210
Status Active
Credentials DCN, RD
Entity Individual
Enumeration date 03/24/2025
Last updated 03/24/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 164002914
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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