Cloney, Tina Ann

Cloney, Tina Ann is an individual health care provider with primary practice located at Decatur Memorial Hospital 2300 N Edward St, Decatur IL 62526. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Cloney, Tina Ann can be contacted via phone (217) 876-8121.

Contact Information

Primary practice address
Decatur Memorial Hospital 2300 N Edward St Decatur IL 62526
Phone: (217) 876-8121
Fax: (217) 876-2261
Website:
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Health care specialties

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

Profile Details

NPI number 1548203763
LBN Legal business name Cloney, Tina Ann
Credentials RD, LDN, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2007 - about 18 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 1548203763 NPPES
Illinois Other 803230 STATE LICENSE - IL CDR

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