Provider Demographics
NPI:1235514001
Name:ROSSI, ERIN (RD, LD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:ROSSI
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:DESK AB4
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-444-3046
Mailing Address - Fax:216-445-4356
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:DESK AB4
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-3046
Practice Address - Fax:216-445-4356
Is Sole Proprietor?:No
Enumeration Date:2015-07-22
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH7496133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered