Dittmer, Cala Elkins

Dittmer, Cala Elkins is an individual health care provider with primary practice located at 1825 Martha Berry Blvd Nw , Rome GA 30165-1625. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Dittmer, Cala Elkins can be contacted via phone (706) 378-8189.

Contact Information

Primary practice address
1825 Martha Berry Blvd Nw Rome GA 30165-1625
Phone: (706) 378-8189
Fax: (706) 238-8037
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD003776 Georgia

Profile Details

NPI number 1881944213
LBN Legal business name Dittmer, Cala Elkins
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2012
Last updated Feb 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881944213 NPPES
Georgia MEDICAID 003128800A
Georgia MEDICAID 003128800B
Georgia MEDICAID 003128800E

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