Cregut, Kelsea Johanna

Cregut, Kelsea Johanna is an sole proprietor health care provider with primary practice located at 400 Mobil Ave Ste D27 , Camarillo CA 93010-6338. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Cregut, Kelsea Johanna can be contacted via phone (805) 444-5919.

Contact Information

Primary practice address
400 Mobil Ave Ste D27 Camarillo CA 93010-6338
Phone: (805) 444-5919
Fax: (805) 830-1735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1036705 California

Profile Details

NPI number 1376906594
LBN Legal business name Cregut, Kelsea Johanna
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2016
Last updated Jun 11th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376906594 NPPES
California Other CB280422 MEDICARE

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