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Contact Information

JILL L BEZEK, MSRDN
8831 WALTHAM WOODS RD
PARKVILLE, MD21234-2123
 Phone: 410-882-4620
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutritionist

133N00000X
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for JILL L BEZEK · (Female)

NPI # 1376048827
Status Active
Credentials MSRDN
Entity Individual
Enumeration date 03/27/2018
Last updated 03/27/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 722570
  • MD License # D00956
  • MD Medicaid 3929051
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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