Haisley, Maria R.

Haisley, Maria R. is an individual health care provider with primary practice located at 600 East Blvd Nutritional Services, Elkhart IN 46514-2483. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Haisley, Maria R. can be contacted via phone (574) 523-3236.

Contact Information

Primary practice address
600 East Blvd Nutritional Services Elkhart IN 46514-2483
Phone: (574) 523-3236
Fax: (574) 296-6504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 37001997A Indiana

Profile Details

NPI number 1558681031
LBN Legal business name Haisley, Maria R.
Credentials RD, CD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2010
Last updated Mar 1st, 2011 - about 15 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 1558681031 NPPES
Indiana Other 37001997A RD LICENSE
Indiana Other 1015831 RD LICENSE

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