Wickstrand, Joanne Moore

Wickstrand, Joanne Moore is an sole proprietor health care provider with primary practice located at 582 Hatteras Ct Sw , Vero Beach FL 32968-4023. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wickstrand, Joanne Moore can be contacted via phone (772) 794-0261.

Contact Information

Primary practice address
582 Hatteras Ct Sw Vero Beach FL 32968-4023
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND4510 Florida

Profile Details

NPI number 1225137623
LBN Legal business name Wickstrand, Joanne Moore
Credentials RD, LD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 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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