Pelavin, Ronald D

Pelavin, Ronald D is an individual health care provider with primary practice located at 28625 Northwestern Hwy Suite 243, Southfield MI 48034-1828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Pelavin, Ronald D can be contacted via phone (248) 358-2310.

Contact Information

Primary practice address
28625 Northwestern Hwy Suite 243 Southfield MI 48034-1828
Phone: (248) 358-2310
Fax: (248) 352-0734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 4301038316 Michigan

Profile Details

NPI number 1700861366
LBN Legal business name Pelavin, Ronald D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Feb 17th, 2011 - about 13 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 1700861366 NPPES
Michigan Other 0632560 BCBS INDIVIDUAL
Michigan MEDICAID 1700861366 BCBS INDIVIDUAL
Michigan Other 110202017 BCBS INDIVIDUAL
Michigan Other 700F314390 BCBS INDIVIDUAL

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