Shack, Corey Ann-Buell

Shack, Corey Ann-Buell is an individual health care provider with primary practice located at 1717 Shaffer St Ste 124 , Kalamazoo MI 49048-1629. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Shack, Corey Ann-Buell can be contacted via phone (269) 226-4909.

Contact Information

Primary practice address
1717 Shaffer St Ste 124 Kalamazoo MI 49048-1629
Phone: (269) 226-4909
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1061420 Michigan

Profile Details

NPI number 1588904254
LBN Legal business name Shack, Corey Ann-Buell
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2013
Last updated Jan 28th, 2019 - about 7 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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