Pellegrini, Adrian J

Pellegrini, Adrian J is an sole proprietor health care provider with primary practice located at 4003 Kresge Way Ste 224, Louisville KY 40207-4652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Pellegrini, Adrian J can be contacted via phone (502) 899-9980.

Contact Information

Primary practice address
4003 Kresge Way Ste 224 Louisville KY 40207-4652
Phone: (502) 899-9980
Fax: (502) 899-9981
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25430 Kentucky

Profile Details

NPI number 1063415099
LBN Legal business name Pellegrini, Adrian J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2005
Last updated Dec 4th, 2017 - about 7 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 1063415099 NPPES
Kentucky MEDICAID 64254303

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