Copperthite, Dawn Renee

Copperthite, Dawn Renee is an sole proprietor health care provider with primary practice located at 300 International Dr Suite 100, Williamsville NY 14221-5781. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Copperthite, Dawn Renee can be contacted via phone (716) 228-8163.

Contact Information

Primary practice address
300 International Dr Suite 100 Williamsville NY 14221-5781
Fax: (716) 626-3416
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 001213-1 New York

Profile Details

NPI number 1114015237
LBN Legal business name Copperthite, Dawn Renee
Credentials RD,CDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated Sep 22nd, 2015 - about 10 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 1114015237 NPPES
New York Other 00026589601 UNIVERA HEALTHCARE #
New York Other 65-10942 UNIVERA HEALTHCARE #
New York Other J300238909 UNIVERA HEALTHCARE #

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