Madison, Gina Marie

Madison, Gina Marie is an individual health care provider with primary practice located at 1515 Eubank Blvd Se Bldg. 831-832 , Albuquerque NM 87185-1019. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Madison, Gina Marie can be contacted via phone (505) 844-4237.

Contact Information

Primary practice address
1515 Eubank Blvd Se Bldg. 831-832 Albuquerque NM 87185-1019
Phone: (505) 844-4237
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X 1067342 Wisconsin

Profile Details

NPI number 1790162253
LBN Legal business name Madison, Gina Marie
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2015
Last updated May 4th, 2015 - about 10 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 1790162253 NPPES
California Other 1067342 REGISTERED DIETITIAN WITH COMMISSION ON DIETETIC REGISTRATION

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