Mcbroom, Maegan Ranae
Mcbroom, Maegan Ranae is an individual health care provider with primary practice located at 5349 Adams Ave Pkwy Ste A , Washington Tr UT 84405-4736. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Mcbroom, Maegan Ranae can be contacted via phone (801) 479-9865.Contact Information
Primary practice address
5349 Adams Ave Pkwy Ste A
Washington Tr UT 84405-4736
Phone: (801) 479-9865
Fax: (801) 479-5846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | 34872 |
Profile Details
| NPI number | 1174113765 |
|---|---|
| LBN Legal business name | Mcbroom, Maegan Ranae |
| Credentials | Certified Health Education Specialist (CHES) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2021 |
| Last updated | Jan 19th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174113765 | NPPES |
| Other | 34872 | CHES |
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