Shipley, Gwen Catherine

Shipley, Gwen Catherine is an individual health care provider with primary practice located at 2620 N Westwood Blvd , Poplar Bluff MO 63901-3396. She recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Shipley, Gwen Catherine can be contacted via phone (573) 686-5993.

Contact Information

Primary practice address
2620 N Westwood Blvd Poplar Bluff MO 63901-3396
Phone: (573) 686-5993
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2007028040 Missouri
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 2007028040 Missouri
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 2007028040 Missouri
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 2007028040 Missouri

Profile Details

NPI number 1386877926
LBN Legal business name Shipley, Gwen Catherine
Credentials RD LD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2009
Last updated Aug 31st, 2009 - about 16 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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