Stidham, Casandra Renee

Stidham, Casandra Renee is an sole proprietor health care provider with primary practice located at 2110 E Norris St Unit 301 , Philadelphia PA 19125-1946. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Renal. Dietary & Nutritional Service Providers / Nutrition, Renal is her primary health care specialty. Stidham, Casandra Renee can be contacted via phone (812) 896-6236.

Contact Information

Primary practice address
2110 E Norris St Unit 301 Philadelphia PA 19125-1946
Phone: (812) 896-6236
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 86025925

Profile Details

NPI number 1134803497
LBN Legal business name Stidham, Casandra Renee
Credentials MS, RD, CSR, CCTD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2023
Last updated Jun 14th, 2023 - about 2 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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