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Contact Information

SUSAN K PHILLIP, NDTR
67 GLENDALE ST
DORCHESTER, MA02125-2404
 Phone: 617-233-4950
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietetic Technician, Registered

136A00000X
 

Health Educator

174H00000X
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for SUSAN K PHILLIP · (Female)

NPI Number 1225592736
Status Active
Credentials NDTR
Entity Individual
Enumeration date 01/29/2019
Last updated 03/18/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 1018812
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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