Hipp, Trevor Shane

Hipp, Trevor Shane is an individual health care provider with primary practice located at 641 Old Route 17 , Monticello NY 12701-7014. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Hipp, Trevor Shane can be contacted via phone (928) 920-6351.

Contact Information

Primary practice address
641 Old Route 17 Monticello NY 12701-7014
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86041583 New York

Profile Details

NPI number 1174126890
LBN Legal business name Hipp, Trevor Shane
Credentials RDN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2020
Last updated Nov 17th, 2020 - about 6 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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