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
Phone: (763) 898-1000
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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