Shaginoff, Ingrid Doris

Shaginoff, Ingrid Doris is an sole proprietor health care provider with primary practice located at 2000 E Industrial Dr , Wasilla AK 99654-8201. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Shaginoff, Ingrid Doris can be contacted via phone (907) 357-3003.

Contact Information

Primary practice address
2000 E Industrial Dr Wasilla AK 99654-8201
Phone: (907) 357-3003
Fax: (907) 357-3003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 2 Alaska
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2 Alaska

Profile Details

NPI number 1558545707
LBN Legal business name Shaginoff, Ingrid Doris
Credentials MS RD LN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 24th, 2007
Last updated Dec 24th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558545707 NPPES
California MEDICAID DT00022

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