Patterson-O'Dell, Madeline

Patterson-O'Dell, Madeline is an individual health care provider with primary practice located at 1400 Blackberry Dr , Fairbanks AK 99712-1810. She recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Nutrition, Metabolic, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Patterson-O'Dell, Madeline can be contacted via phone (303) 520-8975.

Contact Information

Primary practice address
1400 Blackberry Dr Fairbanks AK 99712-1810
Phone: (303) 520-8975
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 163 Alaska

Profile Details

NPI number 1477755908
LBN Legal business name Patterson-O'Dell, Madeline
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Dec 2nd, 2022 - about 4 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 1477755908 NPPES
Alaska MEDICAID DT7897

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