Shodimu, Elizabeth O

Shodimu, Elizabeth O is an sole proprietor health care provider with primary practice located at 110-16 Sutphin Blvd 111-08 Witthoff Street, Queen'S Village NY 11429. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Shodimu, Elizabeth O can be contacted via phone (917) 658-5068.

Contact Information

Primary practice address
110-16 Sutphin Blvd 111-08 Witthoff Street Queen'S Village NY 11429
Phone: (917) 658-5068
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 004988-1 New York
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 004988-1 New York

Profile Details

NPI number 1407222920
LBN Legal business name Shodimu, Elizabeth O
Credentials LICENSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2015
Last updated Aug 19th, 2015 - about 9 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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