Carmen-Wijbenga, Matthew

Carmen-Wijbenga, Matthew is an individual health care provider with primary practice located at 10 Tenney Rd , West Orange NJ 07052-1316. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Carmen-Wijbenga, Matthew can be contacted via phone (862) 216-7987.

Contact Information

Primary practice address
10 Tenney Rd West Orange NJ 07052-1316
Phone: (862) 216-7987
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86171763 New Jersey

Profile Details

NPI number 1568079978
LBN Legal business name Carmen-Wijbenga, Matthew
Credentials MPH, RDN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2020
Last updated Sep 29th, 2020 - about 4 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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