Leslie, Rebecca A
Leslie, Rebecca A is an individual health care provider with primary practice located at 1404 Central Ave S Suite 112, Kent WA 98032-7433. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Leslie, Rebecca A can be contacted via phone (206) 205-1940.Contact Information
Primary practice address
1404 Central Ave S Suite 112
Kent WA 98032-7433
Phone: (206) 205-1940
Fax: (206) 205-5499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DI00000657 | Washington |
Profile Details
| NPI number | 1104992189 |
|---|---|
| LBN Legal business name | Leslie, Rebecca A |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104992189 | NPPES |
| Washington | MEDICAID | 8270118 |
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