Hollen, Eloise W

Hollen, Eloise W is an individual health care provider with primary practice located at 812 Gorman Avenue , Elkins WV 26241. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Hollen, Eloise W can be contacted via phone (304) 636-3300.

Contact Information

Primary practice address
812 Gorman Avenue Elkins WV 26241
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 392970 West Virginia

Profile Details

NPI number 1740350123
LBN Legal business name Hollen, Eloise W
Credentials Medical Nutrition Therapist (MNT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jan 14th, 2008 - about 14 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 1740350123 NPPES
West Virginia Other P00422763 RAILROAD MEDICARE

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