Marsh, Stephanie Renee

Marsh, Stephanie Renee is an sole proprietor health care provider with primary practice located at 701 W North Ave , Melrose Park IL 60160-1699. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Marsh, Stephanie Renee can be contacted via phone (708) 538-4689.

Contact Information

Primary practice address
701 W North Ave Melrose Park IL 60160-1699
Phone: (708) 538-4689
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164005394 Illinois

Profile Details

NPI number 1255610044
LBN Legal business name Marsh, Stephanie Renee
Credentials RD, LDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2011
Last updated Mar 23rd, 2022 - about 4 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 1255610044 NPPES
Illinois MEDICAID 164005394

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