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Contact Information

MARYANN E HAGBERG, RD,CDN
130 DIVISION ST
DERBY, CT06418-1326
 Phone: 203-732-7585
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietary Manager

132700000X
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for MARYANN E HAGBERG · (Female)

NPI # 1851573687
Status Active
Credentials RD,CDN
Entity Individual
Enumeration date 12/04/2007
Last updated 09/17/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 000814
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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