Reidenbach, Ann
Reidenbach, Ann is an individual health care provider with primary practice located at 6522 Constitution Dr , Fort Wayne IN 46804-1550. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Reidenbach, Ann can be contacted via phone (260) 433-3877.Contact Information
Primary practice address
6522 Constitution Dr
Fort Wayne IN 46804-1550
Phone: (260) 433-3877
Fax: (260) 755-5731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 37000578A | Indiana |
Profile Details
| NPI number | 1114912482 |
|---|---|
| LBN Legal business name | Reidenbach, Ann |
| Credentials | MPH RD CD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Jan 23rd, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114912482 | NPPES |
| Other | 1922377423 | NPI , ORGANIZATIONAL ENTITY |
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