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Contact Information

DENISE L MADORE, RD, CSP, CNSC
2 COLAWICKI DR
NORTH YARMOUTH, ME04097-6752
 Phone: 804-433-5682
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for DENISE L MADORE · (Female)

NPI Number 1396955654
Status Active
Credentials RD, CSP, CNSC
Entity Individual
Enumeration date 05/23/2007
Last updated 06/17/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 871573
  • VA Medicaid 004909976
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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