Farmer, Etosha

Farmer, Etosha is an individual health care provider with primary practice located at 415 Sherman St , Watertown NY 13601-3920. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Farmer, Etosha can be contacted via phone (312) 221-4881.

Contact Information

Primary practice address
415 Sherman St Watertown NY 13601-3920
Phone: (312) 221-4881
Fax: (315) 777-4111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1144518499
LBN Legal business name Farmer, Etosha
Credentials MS, RDN, CDCES
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2011
Last updated Nov 21st, 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.

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