Dworkin, Jill Erika
Dworkin, Jill Erika is an individual health care provider with primary practice located at 314 Chestnut Hill Rd , Glastonbury CT 06033-4153. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Dworkin, Jill Erika can be contacted via phone (202) 270-5612.Contact Information
Primary practice address
314 Chestnut Hill Rd
Glastonbury CT 06033-4153
Phone: (202) 270-5612
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X |
Profile Details
| NPI number | 1609588367 |
|---|---|
| LBN Legal business name | Dworkin, Jill Erika |
| Credentials | BCHN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2022 |
| Last updated | Dec 14th, 2022 - about 3 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 | 1609588367 | NPPES |
| Other | MCC8099 | MERCHANT CATEGORY CLASSIFICATION CODE |
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