Mong, Beth Ann
Mong, Beth Ann is an sole proprietor health care provider with primary practice located at 751 Tateam Dr , Danville IN 46122-9384. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Mong, Beth Ann can be contacted via phone (317) 745-5891.Contact Information
Primary practice address
751 Tateam Dr
Danville IN 46122-9384
Phone: (317) 745-5891
Fax: (765) 779-4010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 37001813A | Indiana |
Profile Details
| NPI number | 1588839948 |
|---|---|
| LBN Legal business name | Mong, Beth Ann |
| Credentials | RD CD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2008 |
| Last updated | Apr 28th, 2008 - about 18 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 | 1588839948 | NPPES |
| Indiana | Other | 37001813A | INDIANA RD CERTIFICATION |
| Indiana | Other | 200881730 | INDIANA RD CERTIFICATION |
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