Waschka, Ann-Marissa

Waschka, Ann-Marissa is an individual health care provider with primary practice located at 915 Gordon Ave , Thomasville GA 31792-6614. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Waschka, Ann-Marissa can be contacted via phone (229) 228-2000.

Contact Information

Primary practice address
915 Gordon Ave Thomasville GA 31792-6614
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD003194 Georgia

Profile Details

NPI number 1588800783
LBN Legal business name Waschka, Ann-Marissa
Credentials LD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2008
Last updated Jan 27th, 2009 - about 17 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 1588800783 NPPES
Georgia Other LICENSE LD003194

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