Brooks, Jill Marie
Brooks, Jill Marie is an individual health care provider with primary practice located at 3330 Peach St Ste 211 , Erie PA 16508-2772. She recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Nutrition, Metabolic, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Brooks, Jill Marie can be contacted via phone (814) 877-5484.Contact Information
Primary practice address
3330 Peach St Ste 211
Erie PA 16508-2772
Phone: (814) 877-5484
Fax: (814) 877-5489
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Nutrition, Pediatric | 133VN1004X | DN000120 | Pennsylvania |
Dietary & Nutritional Service Providers / Nutrition, Renal | 133VN1005X | DN000120 | Pennsylvania |
Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | DN000120 | Pennsylvania |
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DN000120 | Pennsylvania |
Profile Details
NPI number | 1467689141 |
---|---|
LBN Legal business name | Brooks, Jill Marie |
Credentials | RD, LDN, CDE |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 19th, 2009 |
Last updated | Apr 17th, 2018 - about 6 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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