Ward, Marie Latendresse

Ward, Marie Latendresse is an sole proprietor health care provider with primary practice located at 711 Roanoke Ave , Elizabeth City NC 27909-5643. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Ward, Marie Latendresse can be contacted via phone (252) 338-4370.

Contact Information

Primary practice address
711 Roanoke Ave Elizabeth City NC 27909-5643
Phone: (252) 338-4370
Fax: (252) 337-7911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X L002954 North Carolina
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1554 Tennessee
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 00515071 Tennessee

Profile Details

NPI number 1629154273
LBN Legal business name Ward, Marie Latendresse
Credentials M.S., R.D., C.D.E.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
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 1629154273 NPPES
Tennessee Other 515071 AMERICAN DIETETIC ASSOC.
Tennessee Other 0932-6070 AMERICAN DIETETIC ASSOC.
Tennessee Other L002954 AMERICAN DIETETIC ASSOC.
Tennessee Other 1554 AMERICAN DIETETIC ASSOC.

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