Bertelsen, Jacqueline Lynn
Bertelsen, Jacqueline Lynn is an individual health care provider with primary practice located at 8111 Dodge St Ste 332 , Omaha NE 68114-4119. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bertelsen, Jacqueline Lynn can be contacted via phone (402) 354-5947.Contact Information
Primary practice address
8111 Dodge St Ste 332
Omaha NE 68114-4119
Phone: (402) 354-5947
Fax: (403) 354-5651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 345 | Nebraska |
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | R011922 | Iowa |
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 00248 | Iowa |
Profile Details
| NPI number | 1427181692 |
|---|---|
| LBN Legal business name | Bertelsen, Jacqueline Lynn |
| Credentials | RD, LD, LMNT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427181692 | NPPES |
| Iowa | Other | R011922 | AMERICAN DIETETIC ASSOC |
| Iowa | Other | 00248 | AMERICAN DIETETIC ASSOC |
| Iowa | Other | 345 | AMERICAN DIETETIC ASSOC |
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