Donnelly, Eva Petkac

Donnelly, Eva Petkac is an individual health care provider with primary practice located at 4689 Fulton Dr Nw , Canton OH 44718-2379. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Renal, which is considered as her primary health care specialty. Donnelly, Eva Petkac can be contacted via phone (330) 649-9400.

Contact Information

Primary practice address
4689 Fulton Dr Nw Canton OH 44718-2379
Fax: (330) 649-8059
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 21 Ohio

Profile Details

NPI number 1740219146
LBN Legal business name Donnelly, Eva Petkac
Credentials RD/LD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 8th, 2007 - about 17 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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