Herman Rivera, Beverly A

Herman Rivera, Beverly A is an individual health care provider with primary practice located at 140 Dean St , Glen Rock NJ 07452. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Herman Rivera, Beverly A can be contacted via phone (201) 445-1460.

Contact Information

Primary practice address
140 Dean St Glen Rock NJ 07452
Phone: (201) 445-1460
Fax: (201) 445-1460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X New Jersey
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 2041-0164 New Jersey
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 882506CDR New Jersey

Profile Details

NPI number 1275692725
LBN Legal business name Herman Rivera, Beverly A
Credentials RD CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jul 8th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275692725 NPPES
Other 7567402 AETNA TRADITIONAL
Other 7619063 AETNA TRADITIONAL
Other P2633343 AETNA TRADITIONAL
Other P2633340 AETNA TRADITIONAL
Other P2633343 AETNA TRADITIONAL
Other 3059850 AETNA TRADITIONAL
Other P2633340 AETNA TRADITIONAL

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