Pellegrino, Susan G
Pellegrino, Susan G is an sole proprietor health care provider with primary practice located at 23 Lincoln Ave , Hasbrouck Heights NJ 07604-1007. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Pellegrino, Susan G can be contacted via phone (201) 519-3942.Contact Information
Primary practice address
23 Lincoln Ave
Hasbrouck Heights NJ 07604-1007
Phone: (201) 519-3942
Fax: (201) 288-5999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | MC05034 | New Jersey |
Profile Details
| NPI number | 1659590875 |
|---|---|
| LBN Legal business name | Pellegrino, Susan G |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659590875 | NPPES |
| New Jersey | Other | MC05034 | STATE LICENSE |
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