Packard, Richard Edward

Packard, Richard Edward is an sole proprietor health care provider with primary practice located at 600 Roe Ave # 1G , Elmira NY 14905-1676. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Packard, Richard Edward can be contacted via phone (607) 795-2820.

Contact Information

Primary practice address
600 Roe Ave # 1G Elmira NY 14905-1676
Fax: (607) 795-2821
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 598 West Virginia
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 010583 New York

Profile Details

NPI number 1821372376
LBN Legal business name Packard, Richard Edward
Credentials RDN, LDN, MBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2011
Last updated Sep 29th, 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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