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
Phone: (321) 725-4500
Fax: (321) 727-0975
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689780181 | NPPES |
Florida | MEDICAID | PENDING | |
Florida | Other | IK418Z |
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