Shanks, Jeri Kendal
Shanks, Jeri Kendal is an individual health care provider with primary practice located at 1237 S Val Vista Dr , Mesa AZ 85204. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Shanks, Jeri Kendal can be contacted via phone (480) 294-6543.Contact Information
Primary practice address
1237 S Val Vista Dr
Mesa AZ 85204
Phone: (480) 294-6543
Fax: (480) 294-6544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | Arizona |
Profile Details
| NPI number | 1952823171 |
|---|---|
| LBN Legal business name | Shanks, Jeri Kendal |
| Credentials | RDN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2017 |
| Last updated | Aug 9th, 2018 - about 8 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 | 1952823171 | NPPES |
| Arizona | Other | 86053981 | COMMISSION ON DIETETIC REGISTRATION |
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