Dejong, Peggy A

Dejong, Peggy A is an individual health care provider with primary practice located at 1605 Se 128Th Ct , Vancouver WA 98683-6435. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Dejong, Peggy A can be contacted via phone (360) 254-6551.

Contact Information

Primary practice address
1605 Se 128Th Ct Vancouver WA 98683-6435
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X DI 60023507 Washington
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X DI 60023507 Washington

Profile Details

NPI number 1285875153
LBN Legal business name Dejong, Peggy A
Credentials RDN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2009
Last updated Jan 12th, 2015 - about 9 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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