Provider Demographics
NPI:1427099555
Name:PLINE, CINDY (RD)
Entity type:Individual
Prefix:MS
First Name:CINDY
Middle Name:
Last Name:PLINE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MRS
Other - First Name:CINDY
Other - Middle Name:JANE
Other - Last Name:OOSTERHOUSE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD
Mailing Address - Street 1:5061 SCOTCH MIST DR
Mailing Address - Street 2:
Mailing Address - City:SARANAC
Mailing Address - State:MI
Mailing Address - Zip Code:48881-8601
Mailing Address - Country:US
Mailing Address - Phone:616-375-1452
Mailing Address - Fax:
Practice Address - Street 1:8333 FELCH ST
Practice Address - Street 2:
Practice Address - City:ZEELAND
Practice Address - State:MI
Practice Address - Zip Code:49464-2608
Practice Address - Country:US
Practice Address - Phone:616-748-2880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIN68060004Medicare ID - Type Unspecified