Havlak, Dixie Rhodes
Havlak, Dixie Rhodes is an sole proprietor health care provider with primary practice located at 1822 Black Lake Blvd Sw Suite 102-C, Olympia WA 98512-5628. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Havlak, Dixie Rhodes can be contacted via phone (360) 357-1410.Contact Information
Primary practice address
1822 Black Lake Blvd Sw Suite 102-C
Olympia WA 98512-5628
Phone: (360) 357-1410
Fax: (360) 357-1410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DI00000195 | Washington |
Profile Details
| NPI number | 1710057666 |
|---|---|
| LBN Legal business name | Havlak, Dixie Rhodes |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1710057666 | NPPES |
| Washington | MEDICAID | 7660020 |
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