Geldernick, Chris M.
Geldernick, Chris M. is an individual health care provider with primary practice located at 1005 Broadway St , Quincy IL 62301-2834. He recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as his primary health care specialty. Geldernick, Chris M. can be contacted via phone (217) 223-8400.Contact Information
Primary practice address
1005 Broadway St
Quincy IL 62301-2834
Phone: (217) 223-8400
Fax: (217) 223-9716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | 164005594 | Illinois |
Profile Details
| NPI number | 1740555093 |
|---|---|
| LBN Legal business name | Geldernick, Chris M. |
| Credentials | MS RD LDN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2012 |
| Last updated | May 22nd, 2012 - about 13 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 | 1740555093 | NPPES |
| Illinois | Other | 00132061 | BLUE CROSS BLUE SHIELD ILLINOIS |
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