Rewinski, Mary Jane

Rewinski, Mary Jane is an individual health care provider with primary practice located at 576 Jefferson Ave , Fort Eustis VA 23604-1373. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Rewinski, Mary Jane can be contacted via phone (757) 314-7757.

Contact Information

Primary practice address
576 Jefferson Ave Fort Eustis VA 23604-1373
Phone: (757) 314-7757
Fax: (757) 314-7792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1753 Massachusetts

Profile Details

NPI number 1801011796
LBN Legal business name Rewinski, Mary Jane
Credentials RD REGISTERED DIETIT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Jun 13th, 2011 - about 13 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 1801011796 NPPES
New Mexico MEDICAID H3451

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