Aardal, Mary K

Aardal, Mary K is an individual health care provider with primary practice located at 605 S Coolidge St , Moses Lake WA 98837-1893. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Aardal, Mary K can be contacted via phone (509) 765-0674.

Contact Information

Primary practice address
605 S Coolidge St Moses Lake WA 98837-1893
Phone: (509) 765-0674
Fax: (509) 765-6591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI00001648 Washington

Profile Details

NPI number 1659570489
LBN Legal business name Aardal, Mary K
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2007
Last updated Jul 12th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659570489 NPPES
Washington Other 9366AA ASURIS NORTHWEST HEALTH
Washington MEDICAID 8422917 ASURIS NORTHWEST HEALTH

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