Judy, Marybeth

Judy, Marybeth is an individual health care provider with primary practice located at 21 School House Rd Ste 14 , Orland ME 04472-3966. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Judy, Marybeth can be contacted via phone (207) 752-2341.

Contact Information

Primary practice address
21 School House Rd Ste 14 Orland ME 04472-3966
Phone: (207) 752-2341
Fax: (855) 752-0261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X D1408 Maine

Profile Details

NPI number 1790901197
LBN Legal business name Judy, Marybeth
Credentials MS, RDN, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jan 8th, 2021 - about 4 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 1790901197 NPPES
Other 1790901197 NPI
Other D1408 NPI

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