Spillane, Vickie L
Spillane, Vickie L is an sole proprietor health care provider with primary practice located at 97 Knollwood Dr Integrative Nutrition Care, Cherry Hill NJ 08002-1646. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Spillane, Vickie L can be contacted via phone (856) 482-2629.Contact Information
Primary practice address
97 Knollwood Dr Integrative Nutrition Care
Cherry Hill NJ 08002-1646
Phone: (856) 482-2629
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | ||
Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | ||
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X |
Profile Details
NPI number | 1598894701 |
---|---|
LBN Legal business name | Spillane, Vickie L |
Credentials | MS RD CDE LDN |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 5th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598894701 | NPPES |
Other | 5463516 | AETNA EPOB | |
Other | 2168990 | AETNA EPOB | |
Other | 2168986 | AETNA EPOB | |
Other | 1015277 | AETNA EPOB |
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