Herazo, Dana Maria

Herazo, Dana Maria is an individual health care provider with primary practice located at 251 N Bayou St , Mobile AL 36603-5827. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Herazo, Dana Maria can be contacted via phone (251) 690-8847.

Contact Information

Primary practice address
251 N Bayou St Mobile AL 36603-5827
Phone: (251) 690-8847
Fax: (251) 544-2188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD 131 Ohio
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 667852 Alabama

Profile Details

NPI number 1962530840
LBN Legal business name Herazo, Dana Maria
Credentials RD,LD,CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated May 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962530840 NPPES
Alabama Other 1063439065 NPI GROUP PAYEE NUMBER
Alabama Other 011846 NPI GROUP PAYEE NUMBER
Alabama MEDICAID 630000013 NPI GROUP PAYEE NUMBER

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