Womack, Jennifer Lind

Womack, Jennifer Lind is an sole proprietor health care provider with primary practice located at 5300 S. Highway 95 Ste A , Fort Mohave AZ 86426. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Womack, Jennifer Lind can be contacted via phone (928) 768-9496.

Contact Information

Primary practice address
5300 S. Highway 95 Ste A Fort Mohave AZ 86426
Phone: (928) 768-9496
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 817192 Arizona

Profile Details

NPI number 1205931839
LBN Legal business name Womack, Jennifer Lind
Credentials R.D., C.D.E.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2006
Last updated Jul 21st, 2022 - about 4 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 1205931839 NPPES
Arizona Other AZ0258900 BLUE CROSS BLUE SHIELD

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