Klingenberg, Adyson Mitchell
Klingenberg, Adyson Mitchell is an individual health care provider with primary practice located at 1500 Cooper St , Fort Worth TX 76104-2710. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Klingenberg, Adyson Mitchell can be contacted via phone (682) 885-1990.Contact Information
Primary practice address
1500 Cooper St
Fort Worth TX 76104-2710
Phone: (682) 885-1990
Fax: (682) 885-1985
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Pediatric | 133VN1004X | DT85915 | Texas |
Profile Details
| NPI number | 1336701986 |
|---|---|
| LBN Legal business name | Klingenberg, Adyson Mitchell |
| Credentials | MS RD LD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2019 |
| Last updated | May 5th, 2022 - about 2 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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