Shanahan, Martha Jane
Shanahan, Martha Jane is an individual health care provider with primary practice located at 126 Auburn Ave Suite 400, Auburn WA 98002-5057. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Shanahan, Martha Jane can be contacted via phone (206) 205-6808.Contact Information
Primary practice address
126 Auburn Ave Suite 400
Auburn WA 98002-5057
Phone: (206) 205-6808
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DI00001835 | Washington |
Profile Details
| NPI number | 1083788475 |
|---|---|
| LBN Legal business name | Shanahan, Martha Jane |
| Credentials | RD, CD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083788475 | NPPES |
| Washington | MEDICAID | 8457459 |
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