Sean Ward, RD | |
250 College Ave, Lancaster, PA 17603-3363 | |
(717) 291-8211 | |
Not Available |
Full Name | Sean Ward |
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Gender | Male |
Speciality | Dietitian, Registered |
Location | 250 College Ave, Lancaster, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053700567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1103160 (Pennsylvania) | Primary |
Provider Name | Rtp Healthy Wellness Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699029074 PECOS PAC ID: 0840588067 Enrollment ID: O20161004001027 |
Mailing Address | Practice Location Address |
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Sean Ward, RD 250 College Ave, Lancaster, PA 17603-3363 Ph: (717) 291-8211 | Sean Ward, RD 250 College Ave, Lancaster, PA 17603-3363 Ph: (717) 291-8211 |
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