Pellegrino, Yvette-Marie
Pellegrino, Yvette-Marie is an individual health care provider with primary practice located at Beaufort Memorial Lady'S Island Internal Medicine 117 Sea Island Parkway, Beaufort SC 29907-1500. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Pellegrino, Yvette-Marie can be contacted via phone (843) 522-7240.Contact Information
Primary practice address
Beaufort Memorial Lady'S Island Internal Medicine 117 Sea Island Parkway
Beaufort SC 29907-1500
Phone: (843) 522-7240
Fax: (843) 522-7249
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 81574 | South Carolina |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200501189 | North Carolina |
Profile Details
NPI number | 1578536504 |
---|---|
LBN Legal business name | Pellegrino, Yvette-Marie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 9th, 2006 |
Last updated | Jan 24th, 2023 - about last year |
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 | 1578536504 | NPPES |
South Carolina | Other | 81547 | SC STATE MD LICENSE |
South Carolina | MEDICAID | 5902403 | SC STATE MD LICENSE |
South Carolina | Other | 010724821 | SC STATE MD LICENSE |
South Carolina | MEDICAID | 815470 | SC STATE MD LICENSE |
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