Montague, Jennifer Nerison

Montague, Jennifer Nerison is an individual health care provider with primary practice located at 41 Donald B Dean Dr Ste A , South Portland ME 04106-3252. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Montague, Jennifer Nerison can be contacted via phone (207) 661-6064.

Contact Information

Primary practice address
41 Donald B Dean Dr Ste A South Portland ME 04106-3252
Phone: (207) 661-6064
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI1603 Maine
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86036308

Profile Details

NPI number 1699344010
LBN Legal business name Montague, Jennifer Nerison
Credentials REGISTERED DIETITIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2021
Last updated Jun 21st, 2021 - about 5 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 1699344010 NPPES
Maine Other DI1603 LICENSED DIETITIAN
Maine Other 86036308 LICENSED DIETITIAN

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