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Contact Information

MOLLY SHATTUCK, RD
400 JOHN DEERE RD
MOLINE, IL61265-6898
 Phone: 309-762-0200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for MOLLY SHATTUCK · (Female)

NPI # 1912284977
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 11/04/2011
Last updated 11/04/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 001928
  • IL License # 164005153
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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