Dulick, Gracie Michelle

Dulick, Gracie Michelle is an individual health care provider with primary practice located at 190 E Bannock St , Boise ID 83712-6241. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Dulick, Gracie Michelle can be contacted via phone (208) 381-3421.

Contact Information

Primary practice address
190 E Bannock St Boise ID 83712-6241
Phone: (208) 381-3421
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X D-1218 Idaho

Profile Details

NPI number 1194367128
LBN Legal business name Dulick, Gracie Michelle
Credentials MS, RDN, CSP, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2019
Last updated May 11th, 2023 - about 3 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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