Trogdon, Stacey
Trogdon, Stacey is an individual health care provider with primary practice located at 6120 N Mayfair St , Spokane WA 99208-1033. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Trogdon, Stacey can be contacted via phone (509) 688-6700.Contact Information
Primary practice address
6120 N Mayfair St
Spokane WA 99208-1033
Phone: (509) 688-6700
Fax: (509) 484-9212
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | D100001085 | Washington |
Profile Details
| NPI number | 1912034018 |
|---|---|
| LBN Legal business name | Trogdon, Stacey |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Mar 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912034018 | NPPES |
| Washington | MEDICAID | 2087263 |
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