Petty, Amanda J
Petty, Amanda J is an sole proprietor health care provider with primary practice located at 110 Woodbine Rd , Wakefield RI 02879-2827. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Petty, Amanda J can be contacted via phone (401) 783-8057.Contact Information
Primary practice address
110 Woodbine Rd
Wakefield RI 02879-2827
Phone: (401) 783-8057
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | LDN00697 | Rhode Island |
Profile Details
| NPI number | 1962760389 |
|---|---|
| LBN Legal business name | Petty, Amanda J |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2012 |
| Last updated | Apr 24th, 2012 - about 12 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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