Provider Demographics
NPI:1871929109
Name:KOPCHINSKI, JANET S (RD)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:S
Last Name:KOPCHINSKI
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MS
Other - First Name:JANET
Other - Middle Name:S
Other - Last Name:SCHAUBEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7 WASHINGTON STREET
Mailing Address - Street 2:SUITE 3 BE WELL MORRISTOWN
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960
Mailing Address - Country:US
Mailing Address - Phone:973-975-0280
Mailing Address - Fax:
Practice Address - Street 1:7 WASHINGTON STREET
Practice Address - Street 2:SUITE 3 BE WELL MORRISTOWN
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960
Practice Address - Country:US
Practice Address - Phone:973-975-0280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY48005753133VN1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric