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Contact Information

JAMIE R ANTWINE
11937 US HIGHWAY 271
TYLER, TX75708-3154
 Phone: 903-877-8978
 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 JAMIE R ANTWINE · (Female)

NPI # 1588262562
Status Active
Credentials
Entity Individual
Enumeration date 10/13/2020
Last updated 10/13/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • TX License # DT81189
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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