Russell, Stephanie Alice
Russell, Stephanie Alice is an sole proprietor health care provider with primary practice located at 808 N 39Th Ave , Yakima WA 98902-6388. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Russell, Stephanie Alice can be contacted via phone (509) 574-3408.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 987692 | Washington |
Profile Details
| NPI number | 1093983959 |
|---|---|
| LBN Legal business name | Russell, Stephanie Alice |
| Credentials | RD, CD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2008 |
| Last updated | Feb 13th, 2008 - about 16 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 | 1093983959 | NPPES |
| Washington | Other | 987692 | CDR |
| Washington | Other | DI00002073 | CDR |
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