Devilliers, Amanda Jeanette
Devilliers, Amanda Jeanette is an individual health care provider with primary practice located at 417 S 51St St Apt 3 , Philadelphia PA 19143-1607. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Devilliers, Amanda Jeanette can be contacted via phone (570) 575-6353.Contact Information
Primary practice address
417 S 51St St Apt 3
Philadelphia PA 19143-1607
Phone: (570) 575-6353
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | DN006941 | Pennsylvania |
Profile Details
| NPI number | 1265181242 |
|---|---|
| LBN Legal business name | Devilliers, Amanda Jeanette |
| Credentials | CNS, LDN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2022 |
| Last updated | Mar 18th, 2022 - about 4 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 | 1265181242 | NPPES |
| Pennsylvania | Other | DN006941 | DIETITIAN-NUTRITIONIST (LDN) |
| Pennsylvania | Other | 17610 | DIETITIAN-NUTRITIONIST (LDN) |
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