Gruner, Tina D

Gruner, Tina D is an individual health care provider with primary practice located at 480 Ne A St , Madras OR 97741-1844. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Nutrition, Renal. Dietary & Nutritional Service Providers / Nutrition, Renal is her primary health care specialty. Gruner, Tina D can be contacted via phone (541) 475-3882.

Contact Information

Primary practice address
480 Ne A St Madras OR 97741-1844
Phone: (541) 475-3882
Fax: (541) 475-0610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 00618978 District of Columbia
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 00618978 District of Columbia

Profile Details

NPI number 1801060991
LBN Legal business name Gruner, Tina D
Credentials CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2008
Last updated Apr 2nd, 2010 - about 15 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 1801060991 NPPES
Oregon MEDICAID 151024
Oregon Other 00618978

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