Munnelly, Heather

Munnelly, Heather is an sole proprietor health care provider with primary practice located at 683 S Nardo Ave Apt D10 , Solana Beach CA 92075-2324. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Munnelly, Heather can be contacted via phone (508) 364-2028.

Contact Information

Primary practice address
683 S Nardo Ave Apt D10 Solana Beach CA 92075-2324
Phone: (508) 364-2028
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X California

Profile Details

NPI number 1962164210
LBN Legal business name Munnelly, Heather
Credentials NTP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2021
Last updated Oct 13th, 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 1962164210 NPPES
California MEDICAID 93874353G08102

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