Zawacki, Stacey A

Zawacki, Stacey A is an individual health care provider with primary practice located at 635 Commonwealth Ave Room 629, Boston MA 02215-1605. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Zawacki, Stacey A can be contacted via phone (617) 358-5065.

Contact Information

Primary practice address
635 Commonwealth Ave Room 629 Boston MA 02215-1605
Fax: (617) 353-7567
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 954 Massachusetts

Profile Details

NPI number 1619027604
LBN Legal business name Zawacki, Stacey A
Credentials M.S., R.D., L.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Sep 7th, 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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