Cheng, Carissa

Cheng, Carissa is an individual health care provider with primary practice located at 16120 Ne 8Th St , Bellevue WA 98008-3937. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Cheng, Carissa can be contacted via phone (425) 747-4004.

Contact Information

Primary practice address
16120 Ne 8Th St Bellevue WA 98008-3937
Phone: (425) 747-4004
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1053520015
LBN Legal business name Cheng, Carissa
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
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 1053520015 NPPES
Washington MEDICAID 7018120

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