Dahlberg, Jacqueline

Dahlberg, Jacqueline is an individual health care provider with primary practice located at 4230 E National Rd , Springfield OH 45505-1714. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Dahlberg, Jacqueline can be contacted via phone (937) 323-8000.

Contact Information

Primary practice address
4230 E National Rd Springfield OH 45505-1714
Fax: (937) 323-6960
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD5723 Ohio

Profile Details

NPI number 1922255165
LBN Legal business name Dahlberg, Jacqueline
Credentials M.S., R.D., L.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2008
Last updated Aug 19th, 2008 - about 17 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 1922255165 NPPES
Ohio Other 85002358 AMERICAN DIETETIC ASSOCIATION

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