Smith, Becky C

Smith, Becky C is an individual health care provider with primary practice located at 701 N 1St St Food & Nutrition, Springfield IL 62781-0001. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Smith, Becky C can be contacted via phone (217) 788-3477.

Contact Information

Primary practice address
701 N 1St St Food & Nutrition Springfield IL 62781-0001
Phone: (217) 788-3477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164002310 Illinois

Profile Details

NPI number 1386984797
LBN Legal business name Smith, Becky C
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2013
Last updated Feb 21st, 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 1386984797 NPPES
Illinois Other 934455 CDR

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