Huizar, Martha Imelda
Huizar, Martha Imelda is an individual health care provider with primary practice located at 851 N Main St Ste 1&3 , San Luis AZ 85336-0685. She recently has 6 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Nutrition, Metabolic, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Huizar, Martha Imelda can be contacted via phone (928) 920-4584.Contact Information
Primary practice address
851 N Main St Ste 1&3
San Luis AZ 85336-0685
Phone: (928) 920-4584
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | ||
| Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | ||
| Dietary & Nutritional Service Providers / Nutrition, Pediatric | 133VN1004X | ||
| Dietary & Nutritional Service Providers / Nutrition, Renal | 133VN1005X | ||
| Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | ||
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X |
Profile Details
| NPI number | 1427593391 |
|---|---|
| LBN Legal business name | Huizar, Martha Imelda |
| Credentials | MS, RD, CLC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2016 |
| Last updated | Mar 20th, 2022 - about 3 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 | 1427593391 | NPPES |
| Arizona | Other | 1105437 | COMMISSION ON DIETETIC REGISTRATION - REGISTERED DIETITIAN |
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