Provider Demographics
NPI:1962260935
Name:ZAPLATOSCH, MITCHELL EVAN (PHD, RD)
Entity type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:EVAN
Last Name:ZAPLATOSCH
Suffix:
Gender:M
Credentials:PHD, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6306 STANTON PLACE LN
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-3001
Mailing Address - Country:US
Mailing Address - Phone:708-203-9745
Mailing Address - Fax:
Practice Address - Street 1:6306 STANTON PLACE LN
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-3001
Practice Address - Country:US
Practice Address - Phone:708-203-9745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL005906133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered