Patti, Marie Antoinette

Patti, Marie Antoinette is an individual health care provider with primary practice located at 1100 Commerce Street Usda, Southwest Regional Office, Dallas TX 75242-0000. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Patti, Marie Antoinette can be contacted via phone (214) 290-9889.

Contact Information

Primary practice address
1100 Commerce Street Usda, Southwest Regional Office Dallas TX 75242-0000
Fax: (214) 767-5522
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 000556 Connecticut

Profile Details

NPI number 1811108772
LBN Legal business name Patti, Marie Antoinette
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jul 8th, 2007 - about 18 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 1811108772 NPPES
Connecticut Other 000556 STATE NUTRITIONIST LICENS

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