Mrs Alice Marieanne Connelly, RD/LDN is a
Dietitian, Registered based in Kinsman, Ohio. Mrs Alice Marieanne Connelly is licensed to practice in Pennsylvania (license number DN003783) and her current practice location is
9353 State Route 5, Kinsman, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 207-1066.
NPI number for Mrs Alice Marieanne Connelly is 1710125950 and her current mailing address is 9353 State Route 5, Kinsman, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710125950.
Healthcare Provider's Profile
Full Name | Mrs Alice Marieanne Connelly |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 9353 State Route 5, Kinsman, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710125950
- Provider Enumeration Date: 01/27/2009
- Last Update Date: 01/27/2009
Medical Identifiers
Medical identifiers for Mrs Alice Marieanne Connelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710125950 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LD 4156 (Ohio) | Secondary |
133V00000X | Dietitian, Registered | DN003783 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Alice Marieanne Connelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Alice Marieanne Connelly, RD/LDN 9353 State Route 5, Kinsman, OH 44428-9324 Ph: (330) 207-1066 | Mrs Alice Marieanne Connelly, RD/LDN 9353 State Route 5, Kinsman, OH 44428-9324 Ph: (330) 207-1066 |
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