Geldernick, Chris M.

Geldernick, Chris M. is an individual health care provider with primary practice located at 1005 Broadway St , Quincy IL 62301-2834. He recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as his primary health care specialty. Geldernick, Chris M. can be contacted via phone (217) 223-8400.

Contact Information

Primary practice address
1005 Broadway St Quincy IL 62301-2834
Fax: (217) 223-9716
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 164005594 Illinois

Profile Details

NPI number 1740555093
LBN Legal business name Geldernick, Chris M.
Credentials MS RD LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2012
Last updated May 22nd, 2012 - about 12 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 1740555093 NPPES
Illinois Other 00132061 BLUE CROSS BLUE SHIELD ILLINOIS

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