Bordeau, Renee J
Bordeau, Renee J is an sole proprietor health care provider with primary practice located at 66 Cedar St Ste 305, Newington CT 06111-2655. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bordeau, Renee J can be contacted via phone (860) 978-9449.Contact Information
Primary practice address
66 Cedar St Ste 305
Newington CT 06111-2655
Phone: (860) 978-9449
Fax: (860) 523-0141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 000472 | Connecticut |
Profile Details
| NPI number | 1831195189 |
|---|---|
| LBN Legal business name | Bordeau, Renee J |
| Credentials | RD, CDN, CPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | May 9th, 2016 - about 8 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 | 1831195189 | NPPES |
| Connecticut | Other | 270000472CT09 | ANTHEM BLUE CROSS BLUE SHIELD |
| Connecticut | Other | 7982509 | ANTHEM BLUE CROSS BLUE SHIELD |
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