Sourile, Grace Ellen

Sourile, Grace Ellen is an individual health care provider with primary practice located at 4920 S 30Th St Suite 103, Omaha NE 68107-1590. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Sourile, Grace Ellen can be contacted via phone (402) 734-2028.

Contact Information

Primary practice address
4920 S 30Th St Suite 103 Omaha NE 68107-1590
Phone: (402) 734-2028
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 960 Nebraska

Profile Details

NPI number 1235404864
LBN Legal business name Sourile, Grace Ellen
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2012
Last updated Mar 15th, 2012 - about 14 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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