Strom, Alyssa
Strom, Alyssa is an sole proprietor health care provider with primary practice located at 3025 Breckinridge Blvd Ste 160 , Duluth GA 30096-8985. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Strom, Alyssa can be contacted via phone (678) 447-6637.Contact Information
Primary practice address
3025 Breckinridge Blvd Ste 160
Duluth GA 30096-8985
Phone: (678) 447-6637
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | LD005012 | Georgia |
Profile Details
| NPI number | 1770104747 |
|---|---|
| LBN Legal business name | Strom, Alyssa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2020 |
| Last updated | May 1st, 2020 - about 4 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 | 1770104747 | NPPES |
| Georgia | Other | LD005012 | RD STATE LICENSE |
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