Braswell, Courtney C

Braswell, Courtney C is an individual health care provider with primary practice located at 825 Chalkstone Ave , Providence RI 02908-4728. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Braswell, Courtney C can be contacted via phone (401) 456-2277.

Contact Information

Primary practice address
825 Chalkstone Ave Providence RI 02908-4728
Phone: (401) 456-2277
Fax: (401) 456-6718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X LDN00562 Rhode Island

Profile Details

NPI number 1750363974
LBN Legal business name Braswell, Courtney C
Credentials R.D.L.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Jul 8th, 2007 - about 17 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 1750363974 NPPES
Rhode Island Other 29929-7 BLUE CROSS
Rhode Island Other 412908 BLUE CROSS

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