Squires, Mary

Squires, Mary is an sole proprietor health care provider with primary practice located at 203 W 8Th Ave , Kennewick WA 99336-5630. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Metabolic, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Squires, Mary can be contacted via phone (509) 585-5929.

Contact Information

Primary practice address
203 W 8Th Ave Kennewick WA 99336-5630
Fax: (509) 586-5140
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X DI00001620 Washington
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI00001620 Washington

Profile Details

NPI number 1588795611
LBN Legal business name Squires, Mary
Credentials RD, CD, CDCES
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated May 26th, 2021 - about 4 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 1588795611 NPPES
Washington Other 8403933 DSHS#

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