Kossick, Gwendolyn Jane
Kossick, Gwendolyn Jane is an individual health care provider with primary practice located at 1825 Martha Berry Blvd Nw , Rome GA 30165-1625. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Kossick, Gwendolyn Jane can be contacted via phone (706) 378-8129.Contact Information
Primary practice address
1825 Martha Berry Blvd Nw
Rome GA 30165-1625
Phone: (706) 378-8129
Fax: (706) 238-8037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | LD003370 | Georgia |
Profile Details
| NPI number | 1982761433 |
|---|---|
| LBN Legal business name | Kossick, Gwendolyn Jane |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 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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