Pelinski, Erica Jane

Pelinski, Erica Jane is an individual health care provider with primary practice located at 128 E Commercial St , Lebanon MO 65536-3257. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Pelinski, Erica Jane can be contacted via phone (573) 302-3990.

Contact Information

Primary practice address
128 E Commercial St Lebanon MO 65536-3257
Phone: (573) 302-3990
Fax: (573) 302-2753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2021042544 Missouri

Profile Details

NPI number 1821371014
LBN Legal business name Pelinski, Erica Jane
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2011
Last updated Apr 1st, 2022 - about 2 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 1821371014 NPPES
South Carolina MEDICAID 1618PA
South Carolina MEDICAID 1821371014
South Carolina MEDICAID 22012848

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