Pauline, Kim Marie
Pauline, Kim Marie is an sole proprietor health care provider with primary practice located at 8 S Maple Ave Suite A, Park Ridge NJ 07656-2137. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Pauline, Kim Marie can be contacted via phone (315) 383-7862.Contact Information
Primary practice address
8 S Maple Ave Suite A
Park Ridge NJ 07656-2137
Phone: (315) 383-7862
Fax: (866) 475-1097
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | ||
Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X |
Profile Details
NPI number | 1538566419 |
---|---|
LBN Legal business name | Pauline, Kim Marie |
Credentials | MS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 20th, 2014 |
Last updated | Nov 3rd, 2016 - about 8 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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