Burbank, Mary Louise
Burbank, Mary Louise is an individual health care provider with primary practice located at 540 Saybrook Rd Ste 100 , Middletown CT 06457-4760. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Burbank, Mary Louise can be contacted via phone (860) 287-1078.Contact Information
Primary practice address
540 Saybrook Rd Ste 100
Middletown CT 06457-4760
Phone: (860) 287-1078
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 001431 | Connecticut |
Profile Details
| NPI number | 1922647601 |
|---|---|
| LBN Legal business name | Burbank, Mary Louise |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2019 |
| Last updated | Dec 30th, 2019 - 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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