Blair, Mackenzie Anne

Blair, Mackenzie Anne is an individual health care provider with primary practice located at 450 Veterans Memorial Pkwy Ste 8C , East Providence RI 02914-5300. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Blair, Mackenzie Anne can be contacted via phone (401) 396-9331.

Contact Information

Primary practice address
450 Veterans Memorial Pkwy Ste 8C East Providence RI 02914-5300
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LDN00993 Rhode Island

Profile Details

NPI number 1649749714
LBN Legal business name Blair, Mackenzie Anne
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2018
Last updated Dec 28th, 2018 - about 8 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 1649749714 NPPES
Other 86099726 COMMISSION ON DIETETIC REGISTRATION

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