Tanner, Leah M

Tanner, Leah M is an individual health care provider with primary practice located at 84 Santa Rosa St Suite A, San Luis Obispo CA 93405-1812. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Renal, which is considered as her primary health care specialty. Tanner, Leah M can be contacted via phone (805) 548-8585.

Contact Information

Primary practice address
84 Santa Rosa St Suite A San Luis Obispo CA 93405-1812
Phone: (805) 548-8585
Fax: (805) 548-8589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 919327 California

Profile Details

NPI number 1104121680
LBN Legal business name Tanner, Leah M
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2011
Last updated Nov 10th, 2014 - about 12 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 1104121680 NPPES
California Other 919327 AMERICAN DIETETIC ASSOCIATION MEMBERSHIP

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