Pauline, Kim Marie

Pauline, Kim Marie is an sole proprietor health care provider with primary practice located at 8 S Maple Ave Suite A, Park Ridge NJ 07656-2137. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Pauline, Kim Marie can be contacted via phone (315) 383-7862.

Contact Information

Primary practice address
8 S Maple Ave Suite A Park Ridge NJ 07656-2137
Phone: (315) 383-7862
Fax: (866) 475-1097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X

Profile Details

NPI number 1538566419
LBN Legal business name Pauline, Kim Marie
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2014
Last updated Nov 3rd, 2016 - about 10 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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