Pellow, Courtney

Pellow, Courtney is an individual health care provider with primary practice located at 4455 Cordata Pkwy , Bellingham WA 98226-8037. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Pellow, Courtney can be contacted via phone (360) 671-3225.

Contact Information

Primary practice address
4455 Cordata Pkwy Bellingham WA 98226-8037
Fax: (360) 671-0000
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 959755 Washington

Profile Details

NPI number 1417097817
LBN Legal business name Pellow, Courtney
Credentials RD, CD, BS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417097817 NPPES
Washington MEDICAID 7406051

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