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:
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Health care specialties

SpecialtyCodeLicense #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 9 months 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 1023260494 NPPES
Michigan MEDICAID 5255236

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