Phelps, Mary
Phelps, Mary is an sole proprietor health care provider with primary practice located at 1236 Pennsylvania Ave Se , Washington DC 20003-2226. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Phelps, Mary can be contacted via phone (609) 477-3050.Contact Information
Primary practice address
1236 Pennsylvania Ave Se
Washington DC 20003-2226
Phone: (609) 477-3050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | NU10000021 | District of Columbia |
Profile Details
| NPI number | 1881247633 |
|---|---|
| LBN Legal business name | Phelps, Mary |
| Credentials | MS, CNS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2019 |
| Last updated | Jul 22nd, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881247633 | NPPES |
| Other | 17448 | CERTIFIED NUTRITION SPECIALIST | |
| Other | NU10000021 | CERTIFIED NUTRITION SPECIALIST |
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