Van Grevenhof, Jani Ann
Van Grevenhof, Jani Ann is an individual health care provider with primary practice located at 1600 N Phillips Ave Coah Nutrition Counseling Clinic, Oklahoma City OK 73104-4619. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Van Grevenhof, Jani Ann can be contacted via phone (405) 271-2113.Contact Information
Primary practice address
1600 N Phillips Ave Coah Nutrition Counseling Clinic
Oklahoma City OK 73104-4619
Phone: (405) 271-2113
Fax: (405) 271-1560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | LD 999 | Oklahoma |
Profile Details
| NPI number | 1790778686 |
|---|---|
| LBN Legal business name | Van Grevenhof, Jani Ann |
| Credentials | MS, RD/LD, CDE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1790778686 | NPPES |
| Oklahoma | Other | 7571472 | AETNA |
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