O'Donnell, Marlene

O'Donnell, Marlene is an individual health care provider with primary practice located at 111 Grossman Dr , Braintree MA 02184-4997. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. O'Donnell, Marlene can be contacted via phone (617) 629-6444.

Contact Information

Primary practice address
111 Grossman Dr Braintree MA 02184-4997
Phone: (617) 629-6444
Fax: (617) 629-6070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1403 Massachusetts

Profile Details

NPI number 1316910235
LBN Legal business name O'Donnell, Marlene
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jan 8th, 2021 - about 3 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 1316910235 NPPES
Massachusetts Other LD0111 BLUE CROSS
Massachusetts Other 680078 BLUE CROSS
Massachusetts Other 0015208 BLUE CROSS
Massachusetts Other PQ116 BLUE CROSS

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