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Contact Information

PREM S DEV, N.D.
7601 TRADITIONS AVE NE
LACEY, WA98516-1335
 Phone: 360-455-8785
 Fax: 360-455-8785
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for PREM S DEV · (Male)

NPI # 1578700175
Status Active
Credentials N.D.
Entity Individual
Enumeration date 01/19/2009
Last updated 01/19/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # NT00001567
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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