Hansen, Kathleen
Hansen, Kathleen is an individual health care provider with primary practice located at 815 Bay Ave Suite B, Capitola CA 95010-2186. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Hansen, Kathleen can be contacted via phone (831) 460-7333.Contact Information
Primary practice address
815 Bay Ave Suite B
Capitola CA 95010-2186
Phone: (831) 460-7333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 966355 | California |
Profile Details
| NPI number | 1811206378 |
|---|---|
| LBN Legal business name | Hansen, Kathleen |
| Credentials | RD, CDE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2010 |
| Last updated | Feb 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811206378 | NPPES |
| California | Other | ED933Z | MEDICARE PPIN |
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