Dahlem, Deanna Kay

Dahlem, Deanna Kay is an individual health care provider with primary practice located at 1178 Kinoole St , Hilo HI 96720-7206. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Dahlem, Deanna Kay can be contacted via phone (808) 934-3204.

Contact Information

Primary practice address
1178 Kinoole St Hilo HI 96720-7206
Phone: (808) 934-3204
Fax: (808) 961-4795
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 957315

Profile Details

NPI number 1386793495
LBN Legal business name Dahlem, Deanna Kay
Credentials MS, RD, BC-ADM, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Apr 7th, 2014 - about 12 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 1386793495 NPPES
Mississippi Other C03168 MEDICARE GROUP

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