Wadum, Marilyn C.

Wadum, Marilyn C. is an individual health care provider with primary practice located at 8601 W Dodge Rd Suite # 30, Omaha NE 68114-3457. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Wadum, Marilyn C. can be contacted via phone (402) 354-8797.

Contact Information

Primary practice address
8601 W Dodge Rd Suite # 30 Omaha NE 68114-3457
Fax: (402) 354-5651
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 183 Nebraska
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 183 Nebraska

Profile Details

NPI number 1619172913
LBN Legal business name Wadum, Marilyn C.
Credentials RD, LMNT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619172913 NPPES
Nebraska Other 183 RD LICENSE

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