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:
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Health care specialties

SpecialtyCodeLicense #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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