Etchason, Laura Anne

Etchason, Laura Anne is an individual health care provider with primary practice located at 2300 N Edward St , Decatur IL 62526-4163. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Etchason, Laura Anne can be contacted via phone (217) 876-8121.

Contact Information

Primary practice address
2300 N Edward St Decatur IL 62526-4163
Phone: (217) 876-8121
Fax: (217) 876-2261
Website:
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Health care specialties

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

Profile Details

NPI number 1972656791
LBN Legal business name Etchason, Laura Anne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 18 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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