Shelley, Danae L

Shelley, Danae L is an sole proprietor health care provider with primary practice located at 3801 150Th Ave Se , Bellevue WA 98006-1668. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Shelley, Danae L can be contacted via phone (425) 460-7140.

Contact Information

Primary practice address
3801 150Th Ave Se Bellevue WA 98006-1668
Fax: (425) 460-7161
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164.005980 Illinois
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI60563553 Washington

Profile Details

NPI number 1982039475
LBN Legal business name Shelley, Danae L
Credentials RD, CDE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2013
Last updated Jun 25th, 2020 - about 6 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 1982039475 NPPES
Illinois Other 164.005980 LICENSE #

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