Individual
BETHANY OPFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 W STRUB RD STE 300, SANDUSKY, OH 44870-5390
(419) 624-1277
(419) 624-1274
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 609-1112
(419) 609-1123
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2014043862
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157365
—
OH
Enumeration date
09/21/2015
Last updated
10/12/2016
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