Marble, Irene F

Marble, Irene F is an individual health care provider with primary practice located at 834 Sheridan Ave , Port Townsend WA 98368. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Marble, Irene F can be contacted via phone (360) 385-2200.

Contact Information

Primary practice address
834 Sheridan Ave Port Townsend WA 98368
Fax: (360) 379-4381
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI00000218 Washington

Profile Details

NPI number 1821287665
LBN Legal business name Marble, Irene F
Credentials RD, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2007
Last updated Oct 17th, 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 1821287665 NPPES
Washington MEDICAID 8274581

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