Provider Demographics
NPI:1720813678
Name:SEEBOHAR, ROBERT (RD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:SEEBOHAR
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6930 BLUE MESA LN
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80125-8842
Mailing Address - Country:US
Mailing Address - Phone:303-242-7955
Mailing Address - Fax:
Practice Address - Street 1:6930 BLUE MESA LN
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80125-8842
Practice Address - Country:US
Practice Address - Phone:303-242-7955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1501XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Sports Dietetics