Henderiks, Diane M

Henderiks, Diane M is an sole proprietor health care provider with primary practice located at 4 Hartford Dr , Tinton Falls NJ 07701-4929. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Henderiks, Diane M can be contacted via phone (732) 922-6269.

Contact Information

Primary practice address
4 Hartford Dr Tinton Falls NJ 07701-4929
Phone: (732) 922-6269
Fax: (732) 918-8757
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 857625 New Jersey

Profile Details

NPI number 1639159668
LBN Legal business name Henderiks, Diane M
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2006
Last updated Jul 8th, 2007 - about 18 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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