Agnes, Susan Moffatt
Agnes, Susan Moffatt is an sole proprietor health care provider with primary practice located at 29 Kripes Rd , East Granby CT 06026-9669. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Agnes, Susan Moffatt can be contacted via phone (860) 413-3883.Contact Information
Primary practice address
29 Kripes Rd
East Granby CT 06026-9669
Phone: (860) 413-3883
Fax: (860) 413-3884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 709473 | Connecticut |
Profile Details
| NPI number | 1518225051 |
|---|---|
| LBN Legal business name | Agnes, Susan Moffatt |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2012 |
| Last updated | May 2nd, 2012 - about 14 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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