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Contact Information

CRYSTAL A CASPER, RD, LDN
7610 N ORANGE PRARIE ROAD
PEORIA, IL61615
 Phone: 309-589-1001
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for CRYSTAL A CASPER · (Female)

NPI Number 1003292111
Status Active
Credentials RD, LDN
Entity Individual
Enumeration date 07/31/2015
Last updated 07/31/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 164.005880
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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