Gottschalk, Tracy Nicole
Gottschalk, Tracy Nicole is an sole proprietor health care provider with primary practice located at 49 Beverly Rd , Montclair NJ 07043-2401. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Gottschalk, Tracy Nicole can be contacted via phone (908) 230-7648.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X |
Profile Details
NPI number | 1851923189 |
---|---|
LBN Legal business name | Gottschalk, Tracy Nicole |
Credentials | REGISTERED DIETITIAN |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 5th, 2020 |
Last updated | Mar 2nd, 2020 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851923189 | NPPES |
Other | 86058451 | COMMISSION ON DIETETIC REGISTRATION |
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