Provider Demographics
NPI:1811290687
Name:CHAIT, LOIS H (RD, CDN, LDN)
Entity type:Individual
Prefix:
First Name:LOIS
Middle Name:H
Last Name:CHAIT
Suffix:
Gender:F
Credentials:RD, CDN, LDN
Other - Prefix:
Other - First Name:LOIS
Other - Middle Name:
Other - Last Name:FISHKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:7623 VINISTE DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33472-7395
Mailing Address - Country:US
Mailing Address - Phone:516-729-4079
Mailing Address - Fax:888-219-5510
Practice Address - Street 1:7623 VINISTE DR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-7395
Practice Address - Country:US
Practice Address - Phone:516-729-4079
Practice Address - Fax:855-219-5510
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-16
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD005582133V00000X
FLND9152133V00000X
NY000363-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCD1200001308OtherLICENSE DIETITIAN/NUTRITIONIST
FLND9152OtherLICENSE DIETITIAN/NUTRITIONIST
OK2678OtherLICENSE DIETITIAN/NUTRITIONIST
MO2021006210OtherLICENSE DIETITIAN/NUTRITIONIST
DEDN-0010971OtherLICENSE DIETITIAN/NUTRITIONIST
IL164008655OtherLICENSE
GALD005582OtherREGISTERED DIETITIAN
KS2715OtherLICENSE DIETITIAN/NUTRITIONIST
NY000363OtherLICENSE DIETITIAN/NUTRITIONIST
MN4947OtherLICENSE DIETITIAN/NUTRITIONIST