Grube, Shannon
Grube, Shannon is an sole proprietor health care provider with primary practice located at 658 Se Bayshore Dr , Oak Harbor WA 98277-5700. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Grube, Shannon can be contacted via phone (360) 544-2466.Contact Information
Primary practice address
658 Se Bayshore Dr
Oak Harbor WA 98277-5700
Phone: (360) 544-2466
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DI00001748 | Washington |
Profile Details
| NPI number | 1598838609 |
|---|---|
| LBN Legal business name | Grube, Shannon |
| Credentials | MS, RDN, CD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Apr 23rd, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598838609 | NPPES |
| Other | 93-2187230 | DEPARTMENT OF TREASURY |
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