Matgouranis, Renee A

Matgouranis, Renee A is an sole proprietor health care provider with primary practice located at 3435 Troy Rd , Springfield OH 45504-4335. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Matgouranis, Renee A can be contacted via phone (937) 342-8800.

Contact Information

Primary practice address
3435 Troy Rd Springfield OH 45504-4335
Fax: (937) 342-8805
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2296 Ohio

Profile Details

NPI number 1417233156
LBN Legal business name Matgouranis, Renee A
Credentials LD/RD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2011
Last updated Nov 1st, 2011 - about 14 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 1417233156 NPPES
Ohio Other 637662 AMERICAN DIETITIC ASSOCIATION

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