Garrison, Michael Paul

Garrison, Michael Paul is an sole proprietor health care provider with primary practice located at 221 Ne Glen Oak Ave , Peoria IL 61636-0002. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Garrison, Michael Paul can be contacted via phone (309) 672-4954.

Contact Information

Primary practice address
221 Ne Glen Oak Ave Peoria IL 61636-0002
Fax: (309) 672-4953
Website:

Health care specialties

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

Profile Details

NPI number 1912121260
LBN Legal business name Garrison, Michael Paul
Credentials RD, LDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Jul 8th, 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.

Request for update

Popular Providers