Petterson, Kristen Ernst
Petterson, Kristen Ernst is an sole proprietor health care provider with primary practice located at 226 Walnut St , Montclair NJ 07042-2972. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Renal. Dietary & Nutritional Service Providers / Nutrition, Renal is her primary health care specialty. Petterson, Kristen Ernst can be contacted via phone (973) 224-7644.Contact Information
Primary practice address
226 Walnut St
Montclair NJ 07042-2972
Phone: (973) 224-7644
Fax: (973) 695-2003
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 631196 | |
Dietary & Nutritional Service Providers / Nutrition, Renal | 133VN1005X | 631196 |
Profile Details
NPI number | 1295983146 |
---|---|
LBN Legal business name | Petterson, Kristen Ernst |
Credentials | Registered Dietitian (RD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 4th, 2008 |
Last updated | Sep 4th, 2008 - about 17 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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