O'Connell, Ethan

O'Connell, Ethan is an individual health care provider with primary practice located at 12304 Willow Woods Dr , Fredericksburg VA 22407-6659. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. O'Connell, Ethan can be contacted via phone (540) 718-8961.

Contact Information

Primary practice address
12304 Willow Woods Dr Fredericksburg VA 22407-6659
Phone: (540) 718-8961
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1710641469
LBN Legal business name O'Connell, Ethan
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2021
Last updated Oct 28th, 2021 - about 4 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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