Martine, Tara Lynn

Martine, Tara Lynn is an individual health care provider with primary practice located at 7215 Ogden Business Ln Unit 106, Wilmington NC 28411-7375. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Martine, Tara Lynn can be contacted via phone (910) 409-3996.

Contact Information

Primary practice address
7215 Ogden Business Ln Unit 106 Wilmington NC 28411-7375
Phone: (910) 409-3996
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X L003743 North Carolina
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1018821 North Carolina

Profile Details

NPI number 1780928804
LBN Legal business name Martine, Tara Lynn
Credentials MS, RD, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Jun 30th, 2014 - about 10 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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