Ward, Jennifer Lynn

Ward, Jennifer Lynn is an individual health care provider with primary practice located at 165 Tor Ct Berkshire North Wic Program, Pittsfield MA 01201-3001. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Ward, Jennifer Lynn can be contacted via phone (413) 445-9245.

Contact Information

Primary practice address
165 Tor Ct Berkshire North Wic Program Pittsfield MA 01201-3001
Fax: (413) 445-9448
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 849104 Massachusetts
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 849104 Massachusetts
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 849104 Massachusetts

Profile Details

NPI number 1811062037
LBN Legal business name Ward, Jennifer Lynn
Credentials R.D., L.D.N., C.L.C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1811062037 NPPES
Massachusetts Other 849104 MA LICENSE

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