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Contact Information

JONATHAN CONTRERAS, RD
72 TINA AVE
BROCKTON, MA02302-1143
 Phone: 781-534-0108
 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 JONATHAN CONTRERAS · (Male)

NPI # 1891366886
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 07/09/2021
Last updated 07/09/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 4979-NU-NU
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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