Van Workum, Kristine Ann

Van Workum, Kristine Ann is an sole proprietor health care provider with primary practice located at 1223 Gateway Dr Ste 2B , Melbourne FL 32901-2607. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Van Workum, Kristine Ann can be contacted via phone (321) 725-4500.

Contact Information

Primary practice address
1223 Gateway Dr Ste 2B Melbourne FL 32901-2607
Fax: (321) 727-0975
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND 5470 Florida

Profile Details

NPI number 1689780181
LBN Legal business name Van Workum, Kristine Ann
Credentials RD, LDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Mar 16th, 2020 - about 5 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 1689780181 NPPES
Florida MEDICAID PENDING
Florida Other IK418Z

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