Bezek, Jill Louise

Bezek, Jill Louise is an sole proprietor health care provider with primary practice located at 8831 Waltham Woods Rd , Parkville MD 21234-2123. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutritionist. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Bezek, Jill Louise can be contacted via phone (410) 882-4620.

Contact Information

Primary practice address
8831 Waltham Woods Rd Parkville MD 21234-2123
Phone: (410) 882-4620
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 722570 Illinois
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 722570 Illinois
Dietary & Nutritional Service Providers / Nutritionist 133N00000X D00956 Maryland

Profile Details

NPI number 1376048827
LBN Legal business name Bezek, Jill Louise
Credentials MSRDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2018
Last updated Mar 27th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376048827 NPPES
Maryland MEDICAID 3929051

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