Peterson, Mandy M
Peterson, Mandy M is an sole proprietor health care provider with primary practice located at 3325 Pocahontas Rd , Baker City OR 97814-1464. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Peterson, Mandy M can be contacted via phone (208) 251-0523.Contact Information
Primary practice address
3325 Pocahontas Rd
Baker City OR 97814-1464
Phone: (208) 251-0523
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 1021 | Oregon |
Profile Details
| NPI number | 1871885335 |
|---|---|
| LBN Legal business name | Peterson, Mandy M |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2011 |
| Last updated | May 3rd, 2011 - about 15 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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