Pedigo, James Monroe

Pedigo, James Monroe is an individual health care provider with primary practice located at 101 Wooded Lane , Villanova PA 19085-1414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Pedigo, James Monroe can be contacted via phone (610) 525-1872.

Contact Information

Primary practice address
101 Wooded Lane Villanova PA 19085-1414
Fax: (610) 525-3357
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ND007428E Pennsylvania

Profile Details

NPI number 1891887444
LBN Legal business name Pedigo, James Monroe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891887444 NPPES
Pennsylvania MEDICAID 0554626

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