Mindiola, Tracy
Mindiola, Tracy is an individual health care provider with primary practice located at 12488 74Th Ave N , Maple Grove MN 55369-5285. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Mindiola, Tracy can be contacted via phone (763) 267-2015.Contact Information
Primary practice address
12488 74Th Ave N
Maple Grove MN 55369-5285
Phone: (763) 267-2015
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 4379 | Minnesota |
Profile Details
| NPI number | 1457084154 |
|---|---|
| LBN Legal business name | Mindiola, Tracy |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2022 |
| Last updated | Sep 12th, 2023 - about 2 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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