Shereda, Julie M
Shereda, Julie M is an individual health care provider with primary practice located at 5758 Cooley Lake Rd , Waterford MI 48327-3073. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutritionist. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Shereda, Julie M can be contacted via phone (855) 466-3631.Contact Information
Primary practice address
5758 Cooley Lake Rd
Waterford MI 48327-3073
Phone: (855) 466-3631
Fax: (810) 244-0226
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | ||
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | ||
Dietary & Nutritional Service Providers / Nutritionist | 133N00000X |
Profile Details
NPI number | 1023260494 |
---|---|
LBN Legal business name | Shereda, Julie M |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 16th, 2008 |
Last updated | Mar 4th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023260494 | NPPES |
Michigan | MEDICAID | 5255236 |
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