Pellegrin, Dean Patrick

Pellegrin, Dean Patrick is an individual health care provider with primary practice located at 6096 W Park Ave , Houma LA 70364-1808. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Pellegrin, Dean Patrick can be contacted via phone (985) 876-2584.

Contact Information

Primary practice address
6096 W Park Ave Houma LA 70364-1808
Phone: (985) 876-2584
Fax: (985) 876-5050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 10577 Louisiana

Profile Details

NPI number 1679625800
LBN Legal business name Pellegrin, Dean Patrick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
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 1679625800 NPPES
Louisiana MEDICAID 1205745
Louisiana Other 1905984

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