Fedorisin, Diana M

Fedorisin, Diana M is an sole proprietor health care provider with primary practice located at 1677 Hemlock Farms , Lords Valley PA 18428-9069. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Fedorisin, Diana M can be contacted via phone (570) 257-0136.

Contact Information

Primary practice address
1677 Hemlock Farms Lords Valley PA 18428-9069
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN004617 Pennsylvania

Profile Details

NPI number 1760720726
LBN Legal business name Fedorisin, Diana M
Credentials RD, LDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2013
Last updated Jan 27th, 2013 - about 12 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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