Debruyne, Marjorie
Debruyne, Marjorie is an individual health care provider with primary practice located at 300 N Sheffield Dr , Bloomington IN 47408-3141. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Debruyne, Marjorie can be contacted via phone (812) 340-4503.Contact Information
Primary practice address
300 N Sheffield Dr
Bloomington IN 47408-3141
Phone: (812) 340-4503
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 37000857A | Indiana |
Profile Details
| NPI number | 1760617476 |
|---|---|
| LBN Legal business name | Debruyne, Marjorie |
| Credentials | RD, CDE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2009 |
| Last updated | Jun 3rd, 2016 - about 10 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 | 1760617476 | NPPES |
| Other | 696214 | ACADEMY OF NUTRITION AND DIETETICS | |
| Other | 37000857A | ACADEMY OF NUTRITION AND DIETETICS |
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