Brandt, Kathleen A
Brandt, Kathleen A is an individual health care provider with primary practice located at 1200 Hilyard St Suite 550, Eugene OR 97401-8122. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Brandt, Kathleen A can be contacted via phone (541) 686-7029.Contact Information
Primary practice address
1200 Hilyard St Suite 550
Eugene OR 97401-8122
Phone: (541) 686-7029
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 552 | Oregon |
Profile Details
| NPI number | 1649202029 |
|---|---|
| LBN Legal business name | Brandt, Kathleen A |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jul 5th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649202029 | NPPES |
| Oregon | MEDICAID | 100236 |
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