Drange, Jody Lynn
Drange, Jody Lynn is an sole proprietor health care provider with primary practice located at 459 N Gilbert Rd Ste C110 , Gilbert AZ 85234-4755. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Drange, Jody Lynn can be contacted via phone (480) 393-3021.Contact Information
Primary practice address
459 N Gilbert Rd Ste C110
Gilbert AZ 85234-4755
Phone: (480) 393-3021
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X |
Profile Details
| NPI number | 1174703466 |
|---|---|
| LBN Legal business name | Drange, Jody Lynn |
| Credentials | RD, CDE, ACSM EP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 5th, 2007 |
| Last updated | Mar 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174703466 | NPPES |
| Arizona | MEDICAID | 305089 |
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