Bayouth, Jill
Bayouth, Jill is an individual health care provider with primary practice located at 1925 Mountain View Ave , Longmont CO 80501-3128. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietetic Technician, Registered, which is considered as her primary health care specialty. Bayouth, Jill can be contacted via phone (303) 776-1234.Contact Information
Primary practice address
1925 Mountain View Ave
Longmont CO 80501-3128
Phone: (303) 776-1234
Fax: (720) 494-3107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietetic Technician, Registered | 136A00000X | 1072108 | Colorado |
| Dietary & Nutritional Service Providers / Dietetic Technician, Registered | 136A00000X | 21420304 | Colorado |
Profile Details
| NPI number | 1992180939 |
|---|---|
| LBN Legal business name | Bayouth, Jill |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2015 |
| Last updated | Aug 26th, 2015 - about 11 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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