Pfaffenberger, Tracy Jeannine
Pfaffenberger, Tracy Jeannine is an sole proprietor health care provider with primary practice located at 129 S Home St , Mishawaka IN 46544-3134. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Pfaffenberger, Tracy Jeannine can be contacted via phone (574) 256-9568.Contact Information
Primary practice address
129 S Home St
Mishawaka IN 46544-3134
Phone: (574) 256-9568
Fax: (574) 256-0817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 37000231A | Indiana |
Profile Details
| NPI number | 1306961602 |
|---|---|
| LBN Legal business name | Pfaffenberger, Tracy Jeannine |
| Credentials | R.D., C.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Jul 8th, 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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