Jason, Katherine T

Jason, Katherine T is an individual health care provider with primary practice located at 77 Herrick St Ste 101, Beverly MA 01915-3012. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Jason, Katherine T can be contacted via phone (978) 927-4110.

Contact Information

Primary practice address
77 Herrick St Ste 101 Beverly MA 01915-3012
Phone: (978) 927-4110
Fax: (978) 232-7057
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 889623 Massachusetts
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2313 Massachusetts

Profile Details

NPI number 1417964586
LBN Legal business name Jason, Katherine T
Credentials RD LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Nov 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417964586 NPPES
Massachusetts Other LD0177 BS

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