Eagle, Louraine

Eagle, Louraine is an sole proprietor health care provider with primary practice located at 769 Northfield Ave Suite 140, West Orange NJ 07052-1198. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Eagle, Louraine can be contacted via phone (973) 731-6565.

Contact Information

Primary practice address
769 Northfield Ave Suite 140 West Orange NJ 07052-1198
Phone: (973) 731-6565
Fax: (973) 731-9855
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1558550459
LBN Legal business name Eagle, Louraine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2007
Last updated Oct 17th, 2007 - about 19 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 1558550459 NPPES
New Jersey Other 0584681 CIGNA
New Jersey Other P2951858 CIGNA
New Jersey Other 2234854 CIGNA
New Jersey Other 2959549 CIGNA

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