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
Fax: (508) 595-2123
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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