Wattenberg, Clinton Harold

Wattenberg, Clinton Harold is an sole proprietor health care provider with primary practice located at 949 E State St , Ithaca NY 14850-6158. He recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Nutrition, Metabolic, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dietary & Nutritional Service Providers / Dietitian, Registered is his primary health care specialty. Wattenberg, Clinton Harold can be contacted via phone (607) 227-9344.

Contact Information

Primary practice address
949 E State St Ithaca NY 14850-6158
Phone: (607) 227-9344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1044495 New York
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 1044495 New York
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 1044495 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 1044495 New York

Profile Details

NPI number 1942580501
LBN Legal business name Wattenberg, Clinton Harold
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2011
Last updated Aug 26th, 2011 - about 13 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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