Provider Demographics
NPI:1528677119
Name:CASH, COLLEEN E (MPH, RDN)
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:E
Last Name:CASH
Suffix:
Gender:F
Credentials:MPH, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 MORGAN ST
Mailing Address - Street 2:
Mailing Address - City:CARLINVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62626-1438
Mailing Address - Country:US
Mailing Address - Phone:217-883-9045
Mailing Address - Fax:
Practice Address - Street 1:1115 MORGAN ST
Practice Address - Street 2:
Practice Address - City:CARLINVILLE
Practice Address - State:IL
Practice Address - Zip Code:62626-1438
Practice Address - Country:US
Practice Address - Phone:217-883-9045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-29
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered