Brossman, Sally C

Brossman, Sally C is an individual health care provider with primary practice located at 2015 Technology Pkwy , Mechanicsburg PA 17050-9414. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietetic Technician, Registered, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Brossman, Sally C can be contacted via phone (717) 791-2546.

Contact Information

Primary practice address
2015 Technology Pkwy Mechanicsburg PA 17050-9414
Phone: (717) 791-2546
Fax: (717) 221-5299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietetic Technician, Registered 136A00000X DN004568 Pennsylvania
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN004568 Pennsylvania

Profile Details

NPI number 1306368253
LBN Legal business name Brossman, Sally C
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2017
Last updated Oct 7th, 2020 - 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 1306368253 NPPES
Pennsylvania MEDICAID 103344993

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