Leitao, Jeannie Marie

Leitao, Jeannie Marie is an sole proprietor health care provider with primary practice located at 2790 Main St , Glastonbury CT 06033-2027. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Leitao, Jeannie Marie can be contacted via phone (860) 430-9922.

Contact Information

Primary practice address
2790 Main St Glastonbury CT 06033-2027
Phone: (860) 430-9922
Fax: (860) 633-9922
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 000964 Connecticut

Profile Details

NPI number 1598094963
LBN Legal business name Leitao, Jeannie Marie
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2009
Last updated Mar 11th, 2019 - about 5 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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