Prouse, Jennifer M
Prouse, Jennifer M is an individual health care provider with primary practice located at 400 Ne Mother Joseph Pl , Vancouver WA 98664-3200. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Prouse, Jennifer M can be contacted via phone (360) 514-2559.Contact Information
Primary practice address
400 Ne Mother Joseph Pl
Vancouver WA 98664-3200
Phone: (360) 514-2559
Fax: (360) 514-3590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DI00001264 | Washington |
Profile Details
| NPI number | 1083797146 |
|---|---|
| LBN Legal business name | Prouse, Jennifer M |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Jul 8th, 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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