Kiselis, Ilze
Kiselis, Ilze is an individual health care provider with primary practice located at 5 Neponset St , Worcester MA 01606-2714. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutritionist. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Kiselis, Ilze can be contacted via phone (508) 852-6175.Contact Information
Primary practice address
5 Neponset St
Worcester MA 01606-2714
Phone: (508) 852-6175
Fax: (508) 595-2123
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 632 | Massachusetts |
Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | 632 | Massachusetts |
Profile Details
NPI number | 1982702304 |
---|---|
LBN Legal business name | Kiselis, Ilze |
Credentials | MSRD LDN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2006 |
Last updated | Sep 26th, 2018 - about 7 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 | 1982702304 | NPPES |
Other | 67853 | FALLON COMMUNITY HEALTH P | |
Other | LD0139 | FALLON COMMUNITY HEALTH P | |
Other | 042472266 | FALLON COMMUNITY HEALTH P | |
Other | AA16844 | FALLON COMMUNITY HEALTH P | |
Other | 042472266 | FALLON COMMUNITY HEALTH P | |
Other | 7001600 | FALLON COMMUNITY HEALTH P |
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