Henderiks, Diane M
Henderiks, Diane M is an sole proprietor health care provider with primary practice located at 4 Hartford Dr , Tinton Falls NJ 07701-4929. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Henderiks, Diane M can be contacted via phone (732) 922-6269.Contact Information
Primary practice address
4 Hartford Dr
Tinton Falls NJ 07701-4929
Phone: (732) 922-6269
Fax: (732) 918-8757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 857625 | New Jersey |
Profile Details
| NPI number | 1639159668 |
|---|---|
| LBN Legal business name | Henderiks, Diane M |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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