Koontz, Elaine M

Koontz, Elaine M is an individual health care provider with primary practice located at 1 Medical Park Wheeling Hospital Inc, Wheeling WV 26003-6379. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Koontz, Elaine M can be contacted via phone (304) 242-9355.

Contact Information

Primary practice address
1 Medical Park Wheeling Hospital Inc Wheeling WV 26003-6379
Phone: (304) 242-9355
Fax: (304) 243-2948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X West Virginia

Profile Details

NPI number 1891013082
LBN Legal business name Koontz, Elaine M
Credentials RD, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2010
Last updated May 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891013082 NPPES
West Virginia Other 627 STATE LICENSE

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