Fog, Rachel

Fog, Rachel is an individual health care provider with primary practice located at 14500 99Th Ave N , Maple Grove MN 55369-4730. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Fog, Rachel can be contacted via phone (763) 898-1000.

Contact Information

Primary practice address
14500 99Th Ave N Maple Grove MN 55369-4730
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 3087 Minnesota

Profile Details

NPI number 1407139868
LBN Legal business name Fog, Rachel
Credentials RD, LD, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2011
Last updated Dec 30th, 2015 - about 9 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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