Mccraw, Glenda Z

Mccraw, Glenda Z is an individual health care provider with primary practice located at 1220 Jefferson St , Laurel MS 39440-4355. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Mccraw, Glenda Z can be contacted via phone (601) 426-4083.

Contact Information

Primary practice address
1220 Jefferson St Laurel MS 39440-4355
Fax: (601) 426-4417
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X D0071 Mississippi

Profile Details

NPI number 1720089543
LBN Legal business name Mccraw, Glenda Z
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Nov 3rd, 2010 - 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 1720089543 NPPES
Mississippi MEDICAID 09432394

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