Broadwater, Alyssa Reau
Broadwater, Alyssa Reau is an sole proprietor health care provider with primary practice located at 4353 Tuller Rd Ste K , Dublin OH 43017-5071. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Broadwater, Alyssa Reau can be contacted via phone (937) 642-9037.Contact Information
Primary practice address
4353 Tuller Rd Ste K
Dublin OH 43017-5071
Phone: (937) 642-9037
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 8024 | Ohio |
Profile Details
| NPI number | 1063966984 |
|---|---|
| LBN Legal business name | Broadwater, Alyssa Reau |
| Credentials | MS, RD, LD, CSCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2016 |
| Last updated | Aug 17th, 2020 - about 5 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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