Tripp, Roberta

Tripp, Roberta is an individual health care provider with primary practice located at 111 S Front Street , Harrisburg PA 17101-1020. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutritionist. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Tripp, Roberta can be contacted via phone (717) 782-5283.

Contact Information

Primary practice address
111 S Front Street Harrisburg PA 17101-1020
Phone: (717) 782-5283
Fax: (717) 782-5192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN000026 Pennsylvania
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 513983 Pennsylvania

Profile Details

NPI number 1245402544
LBN Legal business name Tripp, Roberta
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2008
Last updated Apr 27th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245402544 NPPES
Pennsylvania MEDICAID 1021062260001
Pennsylvania Other 9068015

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