Fendley, Marsha M
Fendley, Marsha M is an individual health care provider with primary practice located at 2016 S Alabama Ave , Monroeville AL 36460-3044. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Metabolic, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Fendley, Marsha M can be contacted via phone (251) 575-3111.Contact Information
Primary practice address
2016 S Alabama Ave
Monroeville AL 36460-3044
Phone: (251) 575-3111
Fax: (251) 743-7493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | 130 | Alabama |
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 130 | Alabama |
Profile Details
| NPI number | 1508069501 |
|---|---|
| LBN Legal business name | Fendley, Marsha M |
| Credentials | RD, LD, CDE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2007 |
| Last updated | Jun 19th, 2014 - about 11 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 | 1508069501 | NPPES |
| Alabama | Other | 0972-0106 | DIABETES EDUCATION CERTIF |
| Alabama | Other | 467211 | DIABETES EDUCATION CERTIF |
| Alabama | Other | 130 | DIABETES EDUCATION CERTIF |
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