Individual
MELISSA T. BENZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
12 ST PAUL DR STE 210, CHAMBERSBURG, PA 17201-1035
(717) 217-6820
(717) 217-6942
Mailing address
785 5TH AVENUE, SUITE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 217-4217
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
DN003025
PA
133V00000X
Registered Dietitian
Primary
DN003025
PA
133VN1006X
Metabolic Nutrition Registered Dietitian
922760
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007307260041
MEDICAID GROUP #
PA
05
—
102530279
—
PA
01
—
867633
MEDICARE GROUP #
PA
01
—
DN003025
LICENSE
PA
Enumeration date
03/14/2007
Last updated
08/03/2022
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