Braisted, Mary

Braisted, Mary is an individual health care provider with primary practice located at 675 Main St , Middletown CT 06457-2732. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Braisted, Mary can be contacted via phone (860) 347-6971.

Contact Information

Primary practice address
675 Main St Middletown CT 06457-2732
Phone: (860) 347-6971
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1831846203
LBN Legal business name Braisted, Mary
Credentials RDN CDN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2022
Last updated Mar 7th, 2022 - about 3 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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