Cisco, Ericka Marie
Cisco, Ericka Marie is an sole proprietor health care provider with primary practice located at 1061 Harmon Ave , Fort Stewart GA 31314-5641. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Cisco, Ericka Marie can be contacted via phone (912) 435-6933.Contact Information
Primary practice address
1061 Harmon Ave
Fort Stewart GA 31314-5641
Phone: (912) 435-6933
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X |
Profile Details
| NPI number | 1538251095 |
|---|---|
| LBN Legal business name | Cisco, Ericka Marie |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Sep 26th, 2019 - about 7 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.
Popular Providers
-
Couchon, Bridget A
1061 Harmon Ave Suite 1D03, Fort Stewart GA 31314 -
Yavorski, Kristina
1061 Harmon Ave Suite 1D03, Fort Stewart GA 31314-5641 -
Lee, Yi-Ling
1061 Harmon Ave Ste 1D03 , Fort Stewart GA 31314-5641 -
Votta, Elizabeth Anne
Winn Army Community Hospital 1061 Harmon Ave, Fort Stewart GA 31314 -
Troha, Sarah Lynn
1061 Harmon Ave Suite 1D03, Fort Stewart GA 31314-5641 -
Varnedoe, Raleighetta Vonzell
1061 Harmon Ave Winn Army Community Hospital - Nutrition Care Division, Fort Stewart GA 31314-5674 -
Packnett, Priscilla C
1061 Harmon Avenue Suite 1D03, Fort Stewart GA 31314-5674 -
Vikhrov, Tomekia L
1061 Harmon Ave , Fort Stewart GA 31314-5641