Rudbeck, Amy J

Rudbeck, Amy J is an sole proprietor health care provider with primary practice located at 1700 E 38Th St , Marion IN 46953-4568. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Rudbeck, Amy J can be contacted via phone (765) 674-3321.

Contact Information

Primary practice address
1700 E 38Th St Marion IN 46953-4568
Phone: (765) 674-3321
Fax: (765) 677-3150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 37000405A Indiana

Profile Details

NPI number 1336259381
LBN Legal business name Rudbeck, Amy J
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1336259381 NPPES
Indiana Other 37000405A DIETITIAN CERTIFICATION
Indiana Other 694975 DIETITIAN CERTIFICATION

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