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Contact Information

AUTUMN ENLOE, MS,RD,LD,CLT
14436 57TH ST N
OAK PARK HEIGHTS, MN55082
 Phone: 651-504-3118
 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 AUTUMN ENLOE · (Female)

NPI Number 1134852783
Status Active
Credentials MS,RD,LD,CLT
Entity Individual
Enumeration date 07/01/2022
Last updated 07/01/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 3441
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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