Reyes, Audrey
Reyes, Audrey is an individual health care provider with primary practice located at 101 Washington Street Learning Institute, Harrisburg PA 17104-1675. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Reyes, Audrey can be contacted via phone (717) 221-6258.Contact Information
Primary practice address
101 Washington Street Learning Institute
Harrisburg PA 17104-1675
Phone: (717) 221-6258
Fax: (717) 221-6266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DN004961 | Pennsylvania |
Profile Details
| NPI number | 1902141492 |
|---|---|
| LBN Legal business name | Reyes, Audrey |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 10th, 2012 |
| Last updated | Oct 21st, 2020 - about 6 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 | 1902141492 | NPPES |
| Pennsylvania | MEDICAID | 103022980 |
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