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Contact Information

SALLY C BROSSMAN, RD
2015 TECHNOLOGY PKWY
MECHANICSBURG, PA17050-9414
 Phone: 717-791-2546
 Fax: 717-221-5299
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Dietetic Technician, Registered

136A00000X
Indicates primary specialty

NPI Profile & details for SALLY C BROSSMAN · (Female)

NPI Number 1306368253
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 07/12/2017
Last updated 10/07/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • PA License # DN004568
  • PA Medicaid 103344993
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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