Odom, Elizabeth Boyd

Odom, Elizabeth Boyd is an individual health care provider with primary practice located at 19 North Dobbs Street , Halifax NC 27839-0010. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Nutrition, Metabolic is her primary health care specialty. Odom, Elizabeth Boyd can be contacted via phone (252) 583-5021.

Contact Information

Primary practice address
19 North Dobbs Street Halifax NC 27839-0010
Phone: (252) 583-5021
Fax: (252) 583-2975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X L001680 North Carolina
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 843319 North Carolina

Profile Details

NPI number 1700190832
LBN Legal business name Odom, Elizabeth Boyd
Credentials RD, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2010
Last updated Apr 9th, 2014 - about 12 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 1700190832 NPPES
North Carolina MEDICAID 3404433
North Carolina MEDICAID 340432
North Carolina MEDICAID 6005545

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