Ebdon, Melissa

Ebdon, Melissa is an individual health care provider with primary practice located at 267 Grant St , Bridgeport CT 06610-2805. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Ebdon, Melissa can be contacted via phone (203) 384-3075.

Contact Information

Primary practice address
267 Grant St Bridgeport CT 06610-2805
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1066909 Connecticut

Profile Details

NPI number 1427685924
LBN Legal business name Ebdon, Melissa
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2020
Last updated Mar 25th, 2020 - about 6 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 1427685924 NPPES
Connecticut Other 1066909 COMMISION OF DIETETIC REGISTRATION

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