Bento, Tracy

Bento, Tracy is an sole proprietor health care provider with primary practice located at 803 S Short Ln , Eagle ID 83616-4122. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bento, Tracy can be contacted via phone (208) 954-0862.

Contact Information

Primary practice address
803 S Short Ln Eagle ID 83616-4122
Phone: (208) 954-0862
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 949867 California

Profile Details

NPI number 1134284045
LBN Legal business name Bento, Tracy
Credentials RD, CDCES, CSOWM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2006
Last updated Sep 20th, 2023 - about 2 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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