Individual
SARAH BERKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11063 11TH ST N, LAKE ELMO, MN 55042-9649
(651) 497-1613
Mailing address
11063 11TH ST N, LAKE ELMO, MN 55042-9649
(651) 497-1613
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2944-29
WI
133V00000X
Registered Dietitian
Primary
3584
MN
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2944-29
WISCONSIN BOARD OF SAFETY AND PROFESSIONAL SERVICES
WI
01
—
3584
MINNESOTA BOARD OF DIETETICS AND NUTRITION SERVICES
MN
Enumeration date
11/23/2020
Last updated
11/23/2020
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