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Contact Information

GEORGE M CORAM, RD
NAVAHCS 500 N HWY 89
PRESCOTT, AZ86313
 Phone: 928-445-4860
 Fax: 928-717-7423
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for GEORGE M CORAM · (Male)

NPI Number 1245348408
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 08/28/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 11982
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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