Mcgilberry, Baleana Watts
Mcgilberry, Baleana Watts is an individual health care provider with primary practice located at 1303 Dr Martin L King Jr Ave , Mobile AL 36603-5341. She recently has 4 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 / Nutrition, Pediatric. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Mcgilberry, Baleana Watts can be contacted via phone (251) 432-4117.Contact Information
Primary practice address
1303 Dr Martin L King Jr Ave
Mobile AL 36603-5341
Phone: (251) 432-4117
Fax: (251) 964-5401
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | 917122 | Alabama |
Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | 917122 | Alabama |
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 917122 | Alabama |
Dietary & Nutritional Service Providers / Nutrition, Pediatric | 133VN1004X | 917122 | Alabama |
Profile Details
NPI number | 1669764395 |
---|---|
LBN Legal business name | Mcgilberry, Baleana Watts |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 13th, 2011 |
Last updated | Jun 21st, 2011 - about 13 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 | 1669764395 | NPPES |
Mississippi | Other | D1103 | STATE LICENSE |
Mississippi | Other | 17122 | STATE LICENSE |
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