Spillane, Vickie L

Spillane, Vickie L is an sole proprietor health care provider with primary practice located at 97 Knollwood Dr Integrative Nutrition Care, Cherry Hill NJ 08002-1646. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Spillane, Vickie L can be contacted via phone (856) 482-2629.

Contact Information

Primary practice address
97 Knollwood Dr Integrative Nutrition Care Cherry Hill NJ 08002-1646
Phone: (856) 482-2629
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1598894701
LBN Legal business name Spillane, Vickie L
Credentials MS RD CDE LDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Jul 8th, 2007 - about 19 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 1598894701 NPPES
Other 5463516 AETNA EPOB
Other 2168990 AETNA EPOB
Other 2168986 AETNA EPOB
Other 1015277 AETNA EPOB

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