Shettle, Lisa

Shettle, Lisa is an sole proprietor health care provider with primary practice located at 65 Kelsey Ln , Glastonbury CT 06033-5040. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Shettle, Lisa can be contacted via phone (860) 916-2486.

Contact Information

Primary practice address
65 Kelsey Ln Glastonbury CT 06033-5040
Phone: (860) 916-2486
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 001685 Connecticut

Profile Details

NPI number 1740750835
LBN Legal business name Shettle, Lisa
Credentials RDN CDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2018
Last updated Nov 30th, 2018 - about 6 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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