Eva Petkac Donnelly in Canton - Nutrition, Renal
Eva Petkac Donnelly - NPI 1740219146
Eva Petkac Donnelly is a Nutrition, Renal in Canton, Ohio. Eva Petkac Donnelly practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Eva Petkac Donnelly is 1740219146. The last update date is 2007-07-08.
Eva Petkac Donnelly's current location address is 4689 Fulton Dr Nw, Canton, Ohio. You can contact this provider via phone number 3306499400 and fax number 3306498059. The mailing address for Eva Petkac Donnelly is 4689 Fulton Dr Nw, Canton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eva Petkac Donnelly |
|---|---|
| Address | 4689 Fulton Dr Nw, Canton, Ohio |
| Phone Number | 3306499400 |
| Fax Number | 3306498059 |
| Sole Proprietor | N |
| Credentials | RD/LD |
NPI Number Detail
| NPI Number | 1740219146 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4689 Fulton Dr Nw |
|---|---|
| City | Canton |
| State | Ohio (OH) |
| Post Code | 4471823790 |
| Phone Number | 3306499400 |
| Fax Number | 3306498059 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Renal |
|---|---|
| Taxonomy | 133Vn1005X |
| Licence No | 21 |
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Definition: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl |
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Post Comment/ Review Below
What is the Eva Petkac Donnelly's unique identification number?
The Eva Petkac Donnelly has been assigned the NPI (National Provider Identifier) Number 1740219146 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Eva Petkac Donnelly's physical address?
The Eva Petkac Donnelly is physically located at 4689 Fulton Dr Nw, in the city of Canton, OH, with the postal code 4471823790.
What is Eva Petkac Donnelly's area of expertise and its corresponding taxonomy classification?
The Eva Petkac Donnelly's field of specialization is Nutrition, Renal, and it falls under the taxonomy code 133Vn1005X, which categorizes healthcare providers based on their areas of practice.
On what date did the Eva Petkac Donnelly receive the assignment of its 1740219146 from the Centers for Medicare & Medicaid Services?
The Eva Petkac Donnelly was issued its 1740219146 by the Centers for Medicare & Medicaid Services on 2006-06-30.
As of what date were the details related to Eva Petkac Donnelly most recently updated or revised?
The information pertaining to Eva Petkac Donnelly, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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