Hagberg, Maryann E

Hagberg, Maryann E is an sole proprietor health care provider with primary practice located at 130 Division St , Derby CT 06418-1326. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietary Manager, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietary Manager is her primary health care specialty. Hagberg, Maryann E can be contacted via phone (203) 732-7585.

Contact Information

Primary practice address
130 Division St Derby CT 06418-1326
Phone: (203) 732-7585
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietary Manager 132700000X 000814 Connecticut
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 000814 Connecticut

Profile Details

NPI number 1851573687
LBN Legal business name Hagberg, Maryann E
Credentials RD,CDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2007
Last updated Sep 17th, 2008 - 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.

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