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ILENE B SIEGEL, RD – NPI #1306967054
Nutrition, Education

NPI Profile for ILENE B SIEGEL in BERLIN, VT.

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Contact Information

ILENE B SIEGEL, RD
130 FISHER RD
BERLIN, VT  05602-9516
 Phone: 802-371-4152
 Fax: 802-371-4572
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Nutrition, Education

 133NN1002X
Indicates primary specialty

NPI Profile & details for ILENE B SIEGEL · (Female)

NPI # 1306967054
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 04/02/2007
Last updated 10/24/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • VT License # 074-0000033
  • VT Medicaid 1022299
  • VT Other 28599 BCBS PROVIDER NUMBER
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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