Jackson, Diane L
Jackson, Diane L is an sole proprietor health care provider with primary practice located at 3901 Hoyt Ave , Everett WA 98201-4918. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Jackson, Diane L can be contacted via phone (425) 259-0966.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DI00001044 | Washington |
Profile Details
| NPI number | 1891866034 |
|---|---|
| LBN Legal business name | Jackson, Diane L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2006 |
| Last updated | Jul 16th, 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 | 1891866034 | NPPES |
| Washington | Other | DI00001044 | LICENSE |
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