Pellegrin, Andrew
Pellegrin, Andrew is an individual health care provider with primary practice located at 221 3Rd St W Bldg 1040 , Jbsa Randolph TX 78150-4800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pellegrin, Andrew can be contacted via phone (210) 652-8544.Contact Information
Primary practice address
221 3Rd St W Bldg 1040
Jbsa Randolph TX 78150-4800
Phone: (210) 652-8544
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 30354 | Nebraska |
Profile Details
| NPI number | 1013365832 |
|---|---|
| LBN Legal business name | Pellegrin, Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2016 |
| Last updated | Aug 23rd, 2021 - about 3 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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