Shevlin, Julie A

Shevlin, Julie A is an sole proprietor health care provider with primary practice located at 2125 Vernon Rd , Lake Stevens WA 98258-8515. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric. Dietary & Nutritional Service Providers / Nutrition, Pediatric is her primary health care specialty. Shevlin, Julie A can be contacted via phone (206) 790-0010.

Contact Information

Primary practice address
2125 Vernon Rd Lake Stevens WA 98258-8515
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI00001350 Washington
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X DI00001350 Washington

Profile Details

NPI number 1114115235
LBN Legal business name Shevlin, Julie A
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2007
Last updated Jun 16th, 2018 - about 7 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 1114115235 NPPES
Washington MEDICAID 8345928

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