Siegel, Ilene B

Siegel, Ilene B is an individual health care provider with primary practice located at 130 Fisher Rd , Berlin VT 05602-9516. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Siegel, Ilene B can be contacted via phone (802) 371-4152.

Contact Information

Primary practice address
130 Fisher Rd Berlin VT 05602-9516
Phone: (802) 371-4152
Fax: (802) 371-4572
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 074-0000033 Vermont

Profile Details

NPI number 1306967054
LBN Legal business name Siegel, Ilene B
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Oct 24th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306967054 NPPES
Vermont Other 28599 BCBS PROVIDER NUMBER
Vermont MEDICAID 1022299 BCBS PROVIDER NUMBER

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