Heesacker, Judith Darlene
Heesacker, Judith Darlene is an sole proprietor health care provider with primary practice located at 518 N Pine St Suite 102, Ellensburg WA 98926-3196. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Heesacker, Judith Darlene can be contacted via phone (509) 933-2838.Contact Information
Primary practice address
518 N Pine St Suite 102
Ellensburg WA 98926-3196
Phone: (509) 933-2838
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DI00001032 | Washington |
Profile Details
| NPI number | 1447349469 |
|---|---|
| LBN Legal business name | Heesacker, Judith Darlene |
| Credentials | MS, RD, CD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 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 | 1447349469 | NPPES |
| Other | 816310 | CDR | |
| Other | DI00001032 | CDR |
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