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Contact Information

THERESE A IDA, R.D.
1400 JACKSON ST
DENVER, CO80206
 Phone: 303-388-4461
 Fax: 303-270-2174
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for THERESE A IDA · (Female)

NPI # 1750622270
Status Active
Credentials R.D.
Entity Individual
Enumeration date 03/07/2013
Last updated 02/26/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 505475
  • CO Other 505475 REG#
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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