Nickerson, Moreen N

Nickerson, Moreen N is an individual health care provider with primary practice located at 574 Main St Suite 203, East Aurora NY 14052-1751. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Nickerson, Moreen N can be contacted via phone (716) 608-3110.

Contact Information

Primary practice address
574 Main St Suite 203 East Aurora NY 14052-1751
Phone: (716) 608-3110
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86001885 New York

Profile Details

NPI number 1679812663
LBN Legal business name Nickerson, Moreen N
Credentials MS, RD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2013
Last updated Feb 11th, 2013 - about 11 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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