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Contact Information

JACQUELINE ODETTE, DTR, CDM, CFPP
2328 N THOMAS RD
FAIRGROVE, MI48733-9569
 Phone: 989-233-2373
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietetic Technician, Registered

136A00000X
Indicates primary specialty

NPI Profile & details for JACQUELINE ODETTE · (Female)

NPI # 1235743006
Status Active
Credentials DTR, CDM, CFPP
Entity Individual
Enumeration date 08/31/2020
Last updated 08/31/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 86198282
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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