White, Marie
White, Marie is an individual health care provider with primary practice located at 100 Mario Capecchi Dr , Salt Lake City UT 84113-1103. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. White, Marie can be contacted via phone (801) 662-5323.Contact Information
Primary practice address
100 Mario Capecchi Dr
Salt Lake City UT 84113-1103
Phone: (801) 662-5323
Fax: (801) 662-5300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Pediatric | 133VN1004X | 10433-4901 | Utah |
Profile Details
| NPI number | 1760739965 |
|---|---|
| LBN Legal business name | White, Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2012 |
| Last updated | Aug 7th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760739965 | NPPES |
| Utah | Other | 133VN1004X | NUTRITION, PEDIATRIC |
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