Dennis, Melinda

Dennis, Melinda is an individual health care provider with primary practice located at 330 Brookline Ave Shapiro B04, Boston MA 02215-5400. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Dennis, Melinda can be contacted via phone (617) 667-9326.

Contact Information

Primary practice address
330 Brookline Ave Shapiro B04 Boston MA 02215-5400
Phone: (617) 667-9326
Fax: (617) 975-5175
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1983 Massachusetts

Profile Details

NPI number 1508920034
LBN Legal business name Dennis, Melinda
Credentials MS, RD, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jul 8th, 2007 - 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 1508920034 NPPES
Massachusetts MEDICAID 1200151

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