Jorge A. Prada, CNS
Dietary Manager · Clarkston, MI
Practice location
5885 S Main StSuite 6b
Clarkston, MI 48346-2981
- Phone
- (248) 707-6367
- Fax
- (248) 707-6233
NPI record
- NPI
- 1588089684
- Entity type
- Individual (Type 1)
- Enumeration date
- February 26, 2014
- Last updated
- February 26, 2014
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietary Manager Primary | 132700000X |
12017 | IL |
About Jorge Prada
Jorge A. Prada, CNS is a healthcare provider registered in the NPI registry with the primary taxonomy Dietary Manager (code 132700000X). The practice location is 5885 S Main St, Suite 6b, Clarkston, MI 48346-2981. The NPI number 1588089684 was assigned on February 26, 2014 and the record was last updated on February 26, 2014.
Jorge Prada lists a license in the registry: #12017 (IL) for Dietary Manager. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jorge A. Prada, CNS?
The NPI number is 1588089684.
What is the phone number of Jorge Prada?
The phone number listed for the practice location is (248) 707-6367.
Where is Jorge Prada located?
5885 S Main St, Suite 6b, Clarkston, MI 48346-2981.
What is the taxonomy code for Jorge Prada?
The primary taxonomy code is 132700000X – Dietary Manager.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.