Provider Demographics
NPI:1588728802
Name:SCHUBERT, REBECCA ANN (MS RD CD)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:ANN
Last Name:SCHUBERT
Suffix:
Gender:F
Credentials:MS RD CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 SHEPHERD RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03835-4009
Mailing Address - Country:US
Mailing Address - Phone:802-558-5351
Mailing Address - Fax:833-895-1263
Practice Address - Street 1:33 SHEPHERD RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NH
Practice Address - Zip Code:03835-4009
Practice Address - Country:US
Practice Address - Phone:802-558-5351
Practice Address - Fax:833-895-1263
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT074-0000208133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered