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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750363974 | NPPES |
Rhode Island | Other | 29929-7 | BLUE CROSS |
Rhode Island | Other | 412908 | BLUE CROSS |
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