Basic Information
Provider Information
NPI: 1174603245
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KROPKA
FirstName: TRINA
MiddleName: E
NamePrefix: MRS.
NameSuffix:  
Credential: RD,LD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2000 EOFF ST
Address2:  
City: WHEELING
State: WV
PostalCode: 260033823
CountryCode: US
TelephoneNumber: 3402348663
FaxNumber: 3042348960
Practice Location
Address1: 90 N 4TH ST
Address2:  
City: MARTINS FERRY
State: OH
PostalCode: 439351648
CountryCode: US
TelephoneNumber: 7406336396
FaxNumber: 7406334492
Other Information
ProviderEnumerationDate: 10/16/2006
LastUpdateDate: 10/15/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
133V00000X5145OHY Dietary & Nutritional Service ProvidersDietitian, Registered 

No ID Information.


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