Bullock, Lindsay Paige

Bullock, Lindsay Paige is an individual health care provider with primary practice located at 1911 Cooks Hill Rd , Centralia WA 98531-9073. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Bullock, Lindsay Paige can be contacted via phone (360) 736-6778.

Contact Information

Primary practice address
1911 Cooks Hill Rd Centralia WA 98531-9073
Phone: (360) 736-6778
Fax: (360) 736-6552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 1006104 Washington
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI60220652 Washington

Profile Details

NPI number 1649540345
LBN Legal business name Bullock, Lindsay Paige
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2012
Last updated Dec 29th, 2014 - about 10 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 1649540345 NPPES
Washington MEDICAID 2040828

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