Doublet, Mark Anthony

Doublet, Mark Anthony is an sole proprietor health care provider with primary practice located at 75 N Country Rd , Port Jefferson NY 11777-2119. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Doublet, Mark Anthony can be contacted via phone (631) 686-2505.

Contact Information

Primary practice address
75 N Country Rd Port Jefferson NY 11777-2119
Phone: (631) 686-2505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1005065 New York

Profile Details

NPI number 1659814077
LBN Legal business name Doublet, Mark Anthony
Credentials R.D., C.D.E.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2016
Last updated Dec 3rd, 2016 - about 8 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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