Mcgibney, Colleen
Mcgibney, Colleen is an sole proprietor health care provider with primary practice located at 11 Schenck Ave Apt 3D , Great Neck NY 11021-3606. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Metabolic, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Mcgibney, Colleen can be contacted via phone (631) 375-4628.Contact Information
Primary practice address
11 Schenck Ave Apt 3D
Great Neck NY 11021-3606
Phone: (631) 375-4628
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | 86060497 | |
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 86060497 |
Profile Details
| NPI number | 1790338697 |
|---|---|
| LBN Legal business name | Mcgibney, Colleen |
| Credentials | MS, RD, CDN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2019 |
| Last updated | Dec 18th, 2023 - about 3 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 | 1790338697 | NPPES |
| Other | 4945019 | CIGNA | |
| Other | 009893 | CIGNA |
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