Mottice, Gretchen

Mottice, Gretchen is an sole proprietor health care provider with primary practice located at 8716 Courage Ct , Raleigh NC 27615-8205. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Mottice, Gretchen can be contacted via phone (919) 816-5776.

Contact Information

Primary practice address
8716 Courage Ct Raleigh NC 27615-8205
Phone: (919) 816-5776
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND 4771 Florida
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X L002987 North Carolina

Profile Details

NPI number 1780671297
LBN Legal business name Mottice, Gretchen
Credentials MS,RD,LDN,CDE,BCADM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2005
Last updated Nov 10th, 2007 - about 19 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 1780671297 NPPES
Florida Other ND 4771 DIETITIAN LICENSE
Florida Other L002987 DIETITIAN LICENSE

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