Coram, George Mark
Coram, George Mark is an sole proprietor health care provider with primary practice located at Navahcs 500 N Hwy 89 , Prescott AZ 86313. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Coram, George Mark can be contacted via phone (928) 445-4860.Contact Information
Primary practice address
Navahcs 500 N Hwy 89
Prescott AZ 86313
Phone: (928) 445-4860
Fax: (928) 717-7423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 11982 | Illinois |
Profile Details
| NPI number | 1245348408 |
|---|---|
| LBN Legal business name | Coram, George Mark |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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