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
Phone: (732) 994-7855
Fax: (732) 242-6688
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255839908 | NPPES |
| New Jersey | MEDICAID | PENDING |
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