Pean, Pierre Etienne

Pean, Pierre Etienne is an sole proprietor health care provider with primary practice located at 1957 Jackson St , Hollywood FL 33020-5021. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Pean, Pierre Etienne can be contacted via phone (954) 927-2393.

Contact Information

Primary practice address
1957 Jackson St Hollywood FL 33020-5021
Phone: (954) 927-2393
Fax: (954) 497-3857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0062634 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME62364 Florida

Profile Details

NPI number 1710013990
LBN Legal business name Pean, Pierre Etienne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2007
Last updated Nov 16th, 2017 - about 8 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 1710013990 NPPES
Florida MEDICAID 371158700

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