Provider Demographics
NPI:1780064683
Name:JULIE STARKEL NUTRITION LLC
Entity type:Organization
Organization Name:JULIE STARKEL NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:STARKEL
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:206-617-2729
Mailing Address - Street 1:8700 12TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-3314
Mailing Address - Country:US
Mailing Address - Phone:206-617-2729
Mailing Address - Fax:
Practice Address - Street 1:6329 20TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-6909
Practice Address - Country:US
Practice Address - Phone:206-617-2729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI60043904133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty