Johnson, Mary Cates
Johnson, Mary Cates is an individual health care provider with primary practice located at 391 Myrtle Ave Ste 2 , Albany NY 12208-3797. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Johnson, Mary Cates can be contacted via phone (518) 262-4942.Contact Information
Primary practice address
391 Myrtle Ave Ste 2
Albany NY 12208-3797
Phone: (518) 262-4942
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 86049965 | New York |
Profile Details
| NPI number | 1598284325 |
|---|---|
| LBN Legal business name | Johnson, Mary Cates |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2017 |
| Last updated | Mar 17th, 2018 - about 8 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 | 1598284325 | NPPES |
| New York | MEDICAID | 141338310 |
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