Blacksburg, Erica

Blacksburg, Erica is an sole proprietor health care provider with primary practice located at 14 Wall St Suite 1100C, New York NY 10005-2101. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Blacksburg, Erica can be contacted via phone (347) 761-3198.

Contact Information

Primary practice address
14 Wall St Suite 1100C New York NY 10005-2101
Phone: (347) 761-3198
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 849910 New York
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 849910 New York

Profile Details

NPI number 1891947156
LBN Legal business name Blacksburg, Erica
Credentials MS, RD, CDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2008
Last updated Nov 30th, 2010 - about 16 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 1891947156 NPPES
New York Other 849910 NY STATE EDUCATION DEPT- CERTIFIED DIETITIAN NUTRITIONIST

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