Kerkvliet, Marisa

Kerkvliet, Marisa is an sole proprietor health care provider with primary practice located at 617 E Laurel Rd , Bellingham WA 98226-9728. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Nutrition, Education is her primary health care specialty. Kerkvliet, Marisa can be contacted via phone (360) 325-5690.

Contact Information

Primary practice address
617 E Laurel Rd Bellingham WA 98226-9728
Phone: (360) 325-5690
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X NU60780405 Washington
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X NU60780405 Washington

Profile Details

NPI number 1932626496
LBN Legal business name Kerkvliet, Marisa
Credentials MSCN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2017
Last updated Aug 25th, 2017 - about 8 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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