Mcgregor, Marla J

Mcgregor, Marla J is an individual health care provider with primary practice located at 1541 Florida Ave Ste 200 , Modesto CA 95350-4438. 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. Mcgregor, Marla J can be contacted via phone (209) 577-3388.

Contact Information

Primary practice address
1541 Florida Ave Ste 200 Modesto CA 95350-4438
Phone: (209) 577-3388
Fax: (209) 523-7583
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 724348 California
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 724348 California

Profile Details

NPI number 1821048414
LBN Legal business name Mcgregor, Marla J
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Oct 8th, 2019 - about 6 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 1821048414 NPPES
California MEDICAID 00C265180

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