Clelland, Carol O

Clelland, Carol O is an individual health care provider with primary practice located at 101 Washington St , Harrisburg PA 17105-8700. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Clelland, Carol O can be contacted via phone (717) 221-6211.

Contact Information

Primary practice address
101 Washington St Harrisburg PA 17105-8700
Phone: (717) 221-6211
Fax: (717) 221-6266
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X DN001038 Pennsylvania
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 353735 Pennsylvania
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN001038 Pennsylvania

Profile Details

NPI number 1194762690
LBN Legal business name Clelland, Carol O
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jul 2nd, 2010 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194762690 NPPES
Pennsylvania MEDICAID 1021058820001

Popular Providers