Shapera, Merle Rose

Shapera, Merle Rose is an sole proprietor health care provider with primary practice located at 1572 Maple Avenue Unit 604, Evanston IL 60201. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Shapera, Merle Rose can be contacted via phone (708) 415-2693.

Contact Information

Primary practice address
1572 Maple Avenue Unit 604 Evanston IL 60201
Phone: (708) 415-2693
Fax: (708) 763-1014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164000616 Illinois
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164.000616 Illinois

Profile Details

NPI number 1033242136
LBN Legal business name Shapera, Merle Rose
Credentials MS,RD,CDE,LD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Jul 2nd, 2014 - about 11 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 1033242136 NPPES
Illinois Other 164.000616 IL STATENUTRITION LICENSE

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