Bontrager Yoder, Andrea Beth

Bontrager Yoder, Andrea Beth is an individual health care provider with primary practice located at 1627 E Bristol St , Elkhart IN 46514-3817. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bontrager Yoder, Andrea Beth can be contacted via phone (574) 262-0313.

Contact Information

Primary practice address
1627 E Bristol St Elkhart IN 46514-3817
Phone: (574) 262-0313
Fax: (574) 389-4879
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 37002566A Indiana

Profile Details

NPI number 1487217352
LBN Legal business name Bontrager Yoder, Andrea Beth
Credentials PHD, RDN, CD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2019
Last updated Mar 31st, 2021 - about 5 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 1487217352 NPPES
Indiana Other 236040319 MEDICARE PTAN

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