Winters, Marissa

Winters, Marissa is an individual health care provider with primary practice located at 27 S Cooks Bridge Rd Ste 2-3 , Jackson NJ 08527-2524. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Winters, Marissa can be contacted via phone (732) 994-7855.

Contact Information

Primary practice address
27 S Cooks Bridge Rd Ste 2-3 Jackson NJ 08527-2524
Fax: (732) 242-6688
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 806641 New Jersey

Profile Details

NPI number 1255839908
LBN Legal business name Winters, Marissa
Credentials RDN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2018
Last updated Jan 29th, 2018 - about 6 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 1255839908 NPPES
New Jersey MEDICAID PENDING

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