Ercolino, Peter
Ercolino, Peter is an individual health care provider with primary practice located at 1655 Wake Drive Ste 101, Wake Forest NC 27587. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ercolino, Peter can be contacted via phone (919) 556-4779.Contact Information
Primary practice address
1655 Wake Drive Ste 101
Wake Forest NC 27587
Phone: (919) 556-4779
Fax: (919) 556-5277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | North Carolina |
Profile Details
| NPI number | 1386641850 |
|---|---|
| LBN Legal business name | Ercolino, Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386641850 | NPPES |
| North Carolina | MEDICAID | 89126J5 |
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