Janelle C Eligon-ketchum, LDN | |
2501 W Lehigh Ave, Philadelphia, PA 19132-3207 | |
(215) 227-0300 | |
(215) 227-0302 |
Full Name | Janelle C Eligon-ketchum |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 22 Years |
Location | 2501 W Lehigh Ave, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295986255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DN003937 (Pennsylvania) | Primary |
Provider Name | Nutrition Unlimited |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093001919 PECOS PAC ID: 4981969540 Enrollment ID: O20180531001796 |
Mailing Address | Practice Location Address |
---|---|
Janelle C Eligon-ketchum, LDN 2501 W Lehigh Ave, Philadelphia, PA 19132-3207 Ph: (215) 227-0300 | Janelle C Eligon-ketchum, LDN 2501 W Lehigh Ave, Philadelphia, PA 19132-3207 Ph: (215) 227-0300 |
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