Vanhavere, Kathleen R

Vanhavere, Kathleen R is an individual health care provider with primary practice located at 25 Germantown Rd , Danbury CT 06810-5036. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Vanhavere, Kathleen R can be contacted via phone (203) 794-5637.

Contact Information

Primary practice address
25 Germantown Rd Danbury CT 06810-5036
Phone: (203) 794-5637
Fax: (203) 794-5642
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 003627 New York
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 000850 Connecticut

Profile Details

NPI number 1790759587
LBN Legal business name Vanhavere, Kathleen R
Credentials MA, RD, CDE, CDN
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Nov 8th, 2010 - about 16 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 1790759587 NPPES
New York Other 133884168 BEECH STREET
New York Other 133884168 BEECH STREET
New York Other 133884168 BEECH STREET

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