Sides, Jennifer Laura

Sides, Jennifer Laura is an sole proprietor health care provider with primary practice located at 12647 Olive Blvd Suite 600, Saint Louis MO 63141-6345. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Sides, Jennifer Laura can be contacted via phone (800) 325-3982.

Contact Information

Primary practice address
12647 Olive Blvd Suite 600 Saint Louis MO 63141-6345
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT06855 Texas

Profile Details

NPI number 1982751517
LBN Legal business name Sides, Jennifer Laura
Credentials R.D., L.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Jul 8th, 2007 - about 17 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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