Koldenhoven, Agnes

Koldenhoven, Agnes is an sole proprietor health care provider with primary practice located at 2470 S Val Vista Dr Ste 104 , Gilbert AZ 85295-1693. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Koldenhoven, Agnes can be contacted via phone (602) 770-7611.

Contact Information

Primary practice address
2470 S Val Vista Dr Ste 104 Gilbert AZ 85295-1693
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 804971 Illinois

Profile Details

NPI number 1063044923
LBN Legal business name Koldenhoven, Agnes
Credentials RDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2020
Last updated Feb 9th, 2020 - 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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