Eagle, Louraine
Eagle, Louraine is an sole proprietor health care provider with primary practice located at 769 Northfield Ave Suite 140, West Orange NJ 07052-1198. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Eagle, Louraine can be contacted via phone (973) 731-6565.Contact Information
Primary practice address
769 Northfield Ave Suite 140
West Orange NJ 07052-1198
Phone: (973) 731-6565
Fax: (973) 731-9855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X |
Profile Details
| NPI number | 1558550459 |
|---|---|
| LBN Legal business name | Eagle, Louraine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2007 |
| Last updated | Oct 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558550459 | NPPES |
| New Jersey | Other | 0584681 | CIGNA |
| New Jersey | Other | P2951858 | CIGNA |
| New Jersey | Other | 2234854 | CIGNA |
| New Jersey | Other | 2959549 | CIGNA |
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