Krueger, Michelle Lynn

Krueger, Michelle Lynn is an individual health care provider with primary practice located at 1400 Vfw Pkwy , West Roxbury MA 02132-4927. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Krueger, Michelle Lynn can be contacted via phone (857) 203-5108.

Contact Information

Primary practice address
1400 Vfw Pkwy West Roxbury MA 02132-4927
Phone: (857) 203-5108
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2452 Massachusetts

Profile Details

NPI number 1184638371
LBN Legal business name Krueger, Michelle Lynn
Credentials MS, RD, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 8th, 2007 - about 18 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 1184638371 NPPES
Massachusetts Other 2452 DIETITIAN STATE LICENSE

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