Mund, Jeannie Therese
Mund, Jeannie Therese is an sole proprietor health care provider with primary practice located at 19 Schoharie St , Staten Island NY 10301-4325. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Mund, Jeannie Therese can be contacted via phone (347) 423-4192.Contact Information
Primary practice address
19 Schoharie St
Staten Island NY 10301-4325
Phone: (347) 423-4192
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 002995 | New York |
Profile Details
| NPI number | 1356519797 |
|---|---|
| LBN Legal business name | Mund, Jeannie Therese |
| Credentials | MPA CLC RD CDN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2008 |
| Last updated | Feb 20th, 2008 - about 16 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 | 1356519797 | NPPES |
| Other | 707184 | ADA REGISTRATION |
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