Shelly, Gwendolyn

Shelly, Gwendolyn is an individual health care provider with primary practice located at 625 S Duke St , Lancaster PA 17602-4509. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Shelly, Gwendolyn can be contacted via phone (717) 299-6371.

Contact Information

Primary practice address
625 S Duke St Lancaster PA 17602-4509
Phone: (717) 299-6371
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 000747-1 New York
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN007411 Pennsylvania

Profile Details

NPI number 1881998128
LBN Legal business name Shelly, Gwendolyn
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2010
Last updated Jul 14th, 2021 - about 3 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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