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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1710057666 NPPES
Washington MEDICAID 7660020

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