| Annetta J Corcoran, RD,LD | |
|
1400 E 2nd St, Defiance, OH 43512-2440 | |
| (419) 784-1414 | |
| (419) 783-2799 |
| Full Name | Annetta J Corcoran |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1400 E 2nd St, Defiance, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942563481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD4032 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Annetta J Corcoran, RD,LD 2200 Jefferson Ave, 4th Floor Credentialing, Toledo, OH 43604-7101 Ph: (419) 251-8983 | Annetta J Corcoran, RD,LD 1400 E 2nd St, Defiance, OH 43512-2440 Ph: (419) 784-1414 |
Debra M Radcliff, MNT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 Ralston Ave, Defiance, OH 43512 Phone: 419-783-4492 Fax: 419-782-4427 | |
Katy Elizabeth Basquez, MNT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 Ralston Ave, Defiance, OH 43512 Phone: 419-782-4492 Fax: 419-782-4427 | |
Raymond Scott Payne, MFN RDN LD Dietitian Medicare: Medicare Enrolled Practice Location: 1400 E 2nd St, Defiance, OH 43512 Phone: 419-784-1414 |