Gordillo, Amanda
Gordillo, Amanda is an sole proprietor health care provider with primary practice located at 2304 Trailridge S , Mishawaka IN 46544-6624. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Gordillo, Amanda can be contacted via phone (574) 383-3542.Contact Information
Primary practice address
2304 Trailridge S
Mishawaka IN 46544-6624
Phone: (574) 383-3542
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 86015474 | Indiana |
Profile Details
| NPI number | 1134619158 |
|---|---|
| LBN Legal business name | Gordillo, Amanda |
| Credentials | MA, RD, LD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2018 |
| Last updated | Dec 8th, 2021 - about 4 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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