Vancalcar, Sandra Carol
Vancalcar, Sandra Carol is an sole proprietor health care provider with primary practice located at 840 Sw Gaines St , Portland OR 97239-2904. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Vancalcar, Sandra Carol can be contacted via phone (608) 712-2723.Contact Information
Primary practice address
840 Sw Gaines St
Portland OR 97239-2904
Phone: (608) 712-2723
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | 1299 | Wisconsin |
Profile Details
| NPI number | 1790832152 |
|---|---|
| LBN Legal business name | Vancalcar, Sandra Carol |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Sep 25th, 2014 - about 11 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 | 1790832152 | NPPES |
| Wisconsin | Other | 710770 | DIETITIAN |
| Wisconsin | Other | LDD10164644 | DIETITIAN |
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