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
Phone: (509) 585-5929
Fax: (509) 586-5140
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588795611 | NPPES |
Washington | Other | 8403933 | DSHS# |
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