Tanner-Blasiar, Marilyn Kaye

Tanner-Blasiar, Marilyn Kaye is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Endocrinology And Diabetes, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric. Dietary & Nutritional Service Providers / Nutrition, Pediatric is her primary health care specialty. Tanner-Blasiar, Marilyn Kaye can be contacted via phone (314) 454-6051.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Endocrinology And Diabetes Saint Louis MO 63110-1002
Phone: (314) 454-6051
Fax: (314) 454-6225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2001004545 Missouri
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 2001004545 Missouri

Profile Details

NPI number 1902428022
LBN Legal business name Tanner-Blasiar, Marilyn Kaye
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2020
Last updated Jun 20th, 2024 - about 5 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902428022 NPPES
Missouri MEDICAID 350122289

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