Leidig, Michael Mansueto

Leidig, Michael Mansueto is an sole proprietor health care provider with primary practice located at 33 Kent St Unit 6, Brookline MA 02445-7977. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Leidig, Michael Mansueto can be contacted via phone (617) 240-4772.

Contact Information

Primary practice address
33 Kent St Unit 6 Brookline MA 02445-7977
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 668 Massachusetts

Profile Details

NPI number 1194961656
LBN Legal business name Leidig, Michael Mansueto
Credentials RD, LDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2009
Last updated Jan 5th, 2009 - about 16 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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