Busey, Stacey Lynn

Busey, Stacey Lynn is an individual health care provider with primary practice located at 602 E Nob Hill Blvd Wic Program, Yakima WA 98901-3534. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Busey, Stacey Lynn can be contacted via phone (509) 248-8602.

Contact Information

Primary practice address
602 E Nob Hill Blvd Wic Program Yakima WA 98901-3534
Fax: (509) 577-4686
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI00001545 Washington

Profile Details

NPI number 1487854410
LBN Legal business name Busey, Stacey Lynn
Credentials RD, CD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated Jul 18th, 2007 - about 19 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 1487854410 NPPES
Washington MEDICAID 8415663

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