Carlson, Jenna Rae

Carlson, Jenna Rae is an individual health care provider with primary practice located at Highway 191 And Hospital Road , Chinle AZ 86503. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Carlson, Jenna Rae can be contacted via phone (928) 674-7166.

Contact Information

Primary practice address
Highway 191 And Hospital Road Chinle AZ 86503
Phone: (928) 674-7166
Fax: (928) 674-7705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1902356785
LBN Legal business name Carlson, Jenna Rae
Credentials RDMN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2016
Last updated Oct 5th, 2016 - about 9 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 1902356785 NPPES
Other 86027129 CDR

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