Ms Mary Jane Sandall, RD, CD is a
Dietitian, Registered based in Deer Park, Washington. Ms Mary Jane Sandall is licensed to practice in Washington (license number DI00000785) and her current practice location is
26 West H Street, Suite B, Deer Park, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 276-7522.
NPI number for Ms Mary Jane Sandall is 1043246945 and her current mailing address is Po Box 2200, 26 West H Street, Ste B, Deer Park, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043246945.
Healthcare Provider's Profile
| Full Name | Ms Mary Jane Sandall |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 26 West H Street, Deer Park, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1043246945
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 10/15/2007
Medical Identifiers
Medical identifiers for Ms Mary Jane Sandall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043246945 | NPI | - | NPPES |
| 7601149 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | DI00000785 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Mary Jane Sandall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Mary Jane Sandall, RD, CD
Po Box 2200, 26 West H Street, Ste B,
Deer Park, WA 99006-2200
Ph: (509) 276-7522 | Ms Mary Jane Sandall, RD, CD
26 West H Street, Suite B,
Deer Park, WA 99006-2200
Ph: (509) 276-7522 |
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