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Contact Information

SHELLY DEHAAN, RD
707 EAST MAIN STREET
ORANGE REGIONAL MEDICAL CENTER
MIDDLETOWN, NY10940
 Phone: 845-333-2705
 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 SHELLY DEHAAN · (Female)

NPI # 1245769660
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 06/08/2017
Last updated 06/08/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 717426
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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