Gaekle, Mary E

Gaekle, Mary E is an individual health care provider with primary practice located at 19601 Mariner Ave , Torrance CA 90503-1647. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Gaekle, Mary E can be contacted via phone (310) 371-0813.

Contact Information

Primary practice address
19601 Mariner Ave Torrance CA 90503-1647
Phone: (310) 371-0813
Fax: (310) 371-6851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X

Profile Details

NPI number 1447433545
LBN Legal business name Gaekle, Mary E
Credentials RD, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2007
Last updated Dec 11th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447433545 NPPES
Other 456483 AMERICAN DIETETIC ASSOCIA

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