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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659590875 NPPES
New Jersey Other MC05034 STATE LICENSE

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