Benardot, Dan S

Benardot, Dan S is an individual health care provider with primary practice located at 5825 Glenridge Dr Ne Suite 2-107, Sandy Springs GA 30328-5387. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Benardot, Dan S can be contacted via phone (404) 567-5029.

Contact Information

Primary practice address
5825 Glenridge Dr Ne Suite 2-107 Sandy Springs GA 30328-5387
Phone: (404) 567-5029
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD000461 Georgia

Profile Details

NPI number 1518128859
LBN Legal business name Benardot, Dan S
Credentials PHD, RD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2008
Last updated Jun 19th, 2008 - about 18 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 1518128859 NPPES
Georgia Other LD000461 STATE OF GEORGIA LICENSED DIETITIAN

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