Bastian, Denae R.

Bastian, Denae R. is an individual health care provider with primary practice located at 900 Pacific Ave 1St Floor, Everett WA 98201-4168. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Bastian, Denae R. can be contacted via phone (425) 258-7311.

Contact Information

Primary practice address
900 Pacific Ave 1St Floor Everett WA 98201-4168
Phone: (425) 258-7311
Fax: (425) 258-7618
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI00001618 Washington
Dietary & Nutritional Service Providers / Nutritionist 133N00000X DI00001618 Washington
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X DI00001618 Washington

Profile Details

NPI number 1508952748
LBN Legal business name Bastian, Denae R.
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 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 1508952748 NPPES
Washington MEDICAID 8429615

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