Conroy, Joanna Sullivan

Conroy, Joanna Sullivan is an sole proprietor health care provider with primary practice located at 7310 Ritchie Hwy Ste 405 , Glen Burnie MD 21061. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Conroy, Joanna Sullivan can be contacted via phone (410) 788-6727.

Contact Information

Primary practice address
7310 Ritchie Hwy Ste 405 Glen Burnie MD 21061
Fax: (410) 788-6729
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X D02222 Maryland

Profile Details

NPI number 1255517439
LBN Legal business name Conroy, Joanna Sullivan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2008
Last updated Dec 5th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255517439 NPPES
Maryland MEDICAID 800142944

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