Blacke, Mireille

Blacke, Mireille is an sole proprietor health care provider with primary practice located at 6122 Town Rdg , Middletown CT 06457-6551. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Blacke, Mireille can be contacted via phone (203) 233-6680.

Contact Information

Primary practice address
6122 Town Rdg Middletown CT 06457-6551
Phone: (203) 233-6680
Fax: (860) 852-3465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 001082 Connecticut
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1073878 Connecticut

Profile Details

NPI number 1861768889
LBN Legal business name Blacke, Mireille
Credentials MA, RD, CD-N
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2012
Last updated Mar 23rd, 2012 - about 13 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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