Fosaaen, Jerome

Fosaaen, Jerome is an sole proprietor health care provider with primary practice located at 1605 Santa Marie Ct , Saint Augustine FL 32080-5478. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Fosaaen, Jerome can be contacted via phone (904) 417-7344.

Contact Information

Primary practice address
1605 Santa Marie Ct Saint Augustine FL 32080-5478
Phone: (904) 417-7344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND4527 Florida

Profile Details

NPI number 1265830343
LBN Legal business name Fosaaen, Jerome
Credentials RD, LD/N
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2014
Last updated Dec 5th, 2014 - about 12 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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