Cromwell, Jennifer L

Cromwell, Jennifer L is an individual health care provider with primary practice located at 206 S Elmwood Ave Aids Community Services, Buffalo NY 14201-2398. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Cromwell, Jennifer L can be contacted via phone (716) 847-0328.

Contact Information

Primary practice address
206 S Elmwood Ave Aids Community Services Buffalo NY 14201-2398
Phone: (716) 847-0328
Fax: (716) 847-2715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 005329-1 New York
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 810734 New York

Profile Details

NPI number 1538311337
LBN Legal business name Cromwell, Jennifer L
Credentials RD, CDN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2008
Last updated Oct 13th, 2008 - about 16 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 1538311337 NPPES
New York MEDICAID 1356390918

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