Thurston, Marcelle A.

Thurston, Marcelle A. is an individual health care provider with primary practice located at 325 9Th Ave Box 359735, Seattle WA 98104-2420. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Thurston, Marcelle A. can be contacted via phone (206) 341-4612.

Contact Information

Primary practice address
325 9Th Ave Box 359735 Seattle WA 98104-2420
Phone: (206) 341-4612
Fax: (206) 341-4614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI00001519 Washington

Profile Details

NPI number 1013965086
LBN Legal business name Thurston, Marcelle A.
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 9th, 2007 - about 17 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 1013965086 NPPES
Washington Other 0188573 L&I PIN
Washington MEDICAID 8399180 L&I PIN
Washington Other 3759TH L&I PIN

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