Coquillard, Marcy
Coquillard, Marcy is an sole proprietor health care provider with primary practice located at 24 S Kaspar Ave , Arlington Heights IL 60005-1631. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Coquillard, Marcy can be contacted via phone (630) 220-3078.Contact Information
Primary practice address
24 S Kaspar Ave
Arlington Heights IL 60005-1631
Phone: (630) 220-3078
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | 3119 | Illinois |
Profile Details
| NPI number | 1528534120 |
|---|---|
| LBN Legal business name | Coquillard, Marcy |
| Credentials | BS, MS, NTP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 22nd, 2018 |
| Last updated | Oct 22nd, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528534120 | NPPES |
| Illinois | Other | 83-1004610 | NUTRITION PRACTIONER |
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