Mahan, Jill Ann

Mahan, Jill Ann is an sole proprietor health care provider with primary practice located at 400 E 3Rd St 400 East Third Street, Duluth MN 55805-1951. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Mahan, Jill Ann can be contacted via phone (218) 786-8364.

Contact Information

Primary practice address
400 E 3Rd St 400 East Third Street Duluth MN 55805-1951
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 3219 Minnesota

Profile Details

NPI number 1104280692
LBN Legal business name Mahan, Jill Ann
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2016
Last updated Apr 11th, 2016 - 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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