Bayouth, Jill

Bayouth, Jill is an individual health care provider with primary practice located at 1925 Mountain View Ave , Longmont CO 80501-3128. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietetic Technician, Registered, which is considered as her primary health care specialty. Bayouth, Jill can be contacted via phone (303) 776-1234.

Contact Information

Primary practice address
1925 Mountain View Ave Longmont CO 80501-3128
Phone: (303) 776-1234
Fax: (720) 494-3107
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietetic Technician, Registered 136A00000X 1072108 Colorado
Dietary & Nutritional Service Providers / Dietetic Technician, Registered 136A00000X 21420304 Colorado

Profile Details

NPI number 1992180939
LBN Legal business name Bayouth, Jill
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2015
Last updated Aug 26th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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