Forrester, Ivis Theodore

Forrester, Ivis Theodore is an sole proprietor health care provider with primary practice located at 3939 Reisterstown Rd , Baltimore MD 21251. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Forrester, Ivis Theodore can be contacted via phone (410) 367-7821.

Contact Information

Primary practice address
3939 Reisterstown Rd Baltimore MD 21251
Phone: (410) 367-7821
Fax: (410) 367-7823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X D02016 Maryland
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X D02016 Maryland

Profile Details

NPI number 1437438645
LBN Legal business name Forrester, Ivis Theodore
Credentials PH.D., RD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2011
Last updated Aug 5th, 2011 - about 14 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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